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About Us Fortis Memorial Research Institute (FMRI), Gurgaon, is a multi-super speciality, quaternary care hospital with an enviable international faculty, reputed clinicians, including......more
About Us Fortis Memorial Research Institute (FMRI), Gurgaon, is a multi-super speciality, quaternary care hospital with an enviable international faculty, reputed clinicians, including super-sub-specialists and speciality nurses, supported by cutting-edge technology. A premium, referral hospital, it endeavours to be the 'Mecca of Healthcare' for Asia Pacific and beyond. Set on a spacious 11-acre campus with 1000 beds, this 'Next Generation Hospital' is built on the foundation of 'Trust' and rests on the four strong pillars Talent, Technology, Infrastructure and Service.

Timings

MON-SUN
07:00 AM - 11:00 PM

Location

Sector - 44, Opposite HUDA City Centre
Sector-44 Gurgaon, Haryana - 122002
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Videos (6)

Hi,<br/><br/>My name is  Dr. Neeraj Sanduja and me aaj apko age related macular degeneration ke b...

Hi,

My name is  Dr. Neeraj Sanduja and me aaj apko age related macular degeneration ke bare btaunga. Basically ye retina ki problem hoti hai jo age ke hisab se kisi me bhi dekhi ja skti hai. Iske 2 stages hote hain: dry or wet. Dry me roshni kam hoti hai. Wet me bleeding ho jati hai or patient ko center me ek black patch dikhne lag jata hai or akshar thode tede mede dikhte hain. Durr ka nhi dikhta hai or jhan bhi dekhta hai, vhan center se kala or side se nazar aata hai. Iske kuch risk factors bhi hote hain jaise ultraviolet rays kafi role play krti hai. Diet me agar anti-oxidants nhi hai, us se bhi iske risk hote hain. Genetics bhi iska ek karan hai. Patient jab hmare pas aat hai to ek routine eye check-up hota hai.

Jisme agar hum dekhen ki dry hai to hum use anti-oxidants capsule dete hain. Vo in dhabbon ki rok tham krta hai. Or bleeding hone se rokta hai. Agar ye wet hota hai to isme khas injections lgaye jate hain kuch test krne ke baad. Injections bleeding ko rokte hain but ye injection 1 month ke lia hi kam krta hai. To isme hume 3 injections lgane hota hain 3 months ke treatment ke lia. Isme kayi medicines bhi use ki jati hain. Isme vision ya to ruk jati hai or kuch cases me improve bhi hoti hain. 100% improvement nhi hogi. Isme hum patient ko ek chart bhi dete hain jis se vo dusri aankh ko bhi monitor krta hai. Patient ko hum 4-6 months me review krte hain. Agar bich me koi problem aaye to patient hume aake dikha skta hai.

Thank You.

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Hi,<br/><br/>My main is  Dr. Neeraj Sanduja and me aaj apko btanne ja rha hun vo hai cataract ke ...

Hi,

My main is  Dr. Neeraj Sanduja and me aaj apko btanne ja rha hun vo hai cataract ke bare me. Cataract or safed motiya hota kya hai? Hmari aankh ki banavat ek camera ki trha hoti hai. Isme aage putli hoti hai, bich me lens hota hai, or piche retina hota hai. Jo image hai vo cornea ke through jati hai or retina pe focu hoti hai. Motiya me aankhon ka lens safed hone lag jata hai or ise hum cataract bolte hain. Iske kayi karan hai. Pehla karan hai age. Umar ke hisab se sab logon me ye problem milti hai. Iski shurat 50 saal ke bad hoti hai. Lekin kuch logon me cataract jldi aa jata hai jaise ki diabetics me ya injured eye ho. Even bachon me bhi cataract paya jata hai jise hum congenital ya developmental cataract bolte hain.

Question ye hai ki cataract ke symptoms kya honge? Pehle hai ki apki aankhon ki roshni kam hone lag jati hai. Kayi baar apki aankhon ki roshni din me kam ho jati hai or shaam ke time jyada ho jati hai. Even light ke around hellos nazar aane lag jate hain. To ye iske symptoms hain. Cataract rokne ke lia koi bhi medicine nhi bani hai jis se ye roka ja ske. Cataract age ke sath aata hai like after 50, 60 or 80. Surgery apko tbhi hi suggest ki jati hai jab apko day to day acclivity me problem ho. Pehle ke time according apka cataract remove tab kia jata tha jab vo badh jata tha lekin aaj kal treatment bhut advance hain. Aaj kal ki surfgery immature cataract me hi jki jati hai.

Jab apki roshni chashme ki help se bhi nhi badh rhi hai. Cataract surgery me jo latest treatment hai vo hai phocoemulsification technique. Jisko normal language me laser waves bolte hain. Iske throught hum bhut hi chote incision se andar jake cataract ko dissolve kar dete hain. Or ek fine lens apki ankhon me hum lag dete hai. Or is se aap apni ankho ki roshni ko restore kar lete hain. Lens jo aankh ke andar lgaya jata hai, ultrasound A-scan ke through power ko control kia jata hai or machine se lens ko aankh ke andar fir kar dia jata hai. Eyes ke anadar jo lens lgaye jate hain vo 2-3 types ke hote hain. Monofical lens ya to durr ki roshni ko thik krta hai ya paas ki nazar ko. And multifocal lens apke nazadik and durr ki roshni ko thik krte hain.

Lekin maximum time monofocal lens lgaye jate hain quki ye crystal clear hote hain. Is s night driving me dikkat nhi aati hai. Kuch logon ko multifocal lens ke sath chashma bhi lagana pad jata hai. Surgery ke baad kuch precautions leni hoti hain. Apko 1-2 weeks aankh me pani nhi dalna hota hai. Garam pani se eyelids ko clean krna hota hai taki koi infection na ho. Or hum apko eye drops bhi dete hain jo 4-6 weeks chalti hain. Or kuch lubricants drops 2 months ke lia chalti hai. Ye bhut hi simple surgery hai jo day in and out ka kam hai. Patient aata hai, surgery krata hai or fir ghar chala jata hai. To 2 hours ke andar apka sab kam ho jata hai.

Thank You.

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Cataract: Causes, Symptoms, and Treatment

I am Dr Neeraj Sanduja, a retina specialist working in Fortis hospital and I have got my own Centre we are nine retina Centre Gurgaon. I will tell you briefly about cataract Safed Motia which is prone to occur in almost every patient with age. Jo cataract hota hai Safed Motia uska most common reason hai aap ki age jaise jaise age badti hai chances of cataract increases, iske alawa agar aapka high blood sugar level hai to bhi aapko cataract jaldi ho sakta hai. Even injury to the eye koi bhi traum ho therefore, ball lage aapki aankh pe, it can lead to cataract formation. Baccho mein bhi cataract ho jata hai, isko congenital cataract kehte hain, development lead cataract bolte hain. Toh yeh bahut zaroori hota hai cataract jaldi pata lage, isko time pe detect kiya jaye eye specialist se aur uska treatment kiya jaye. Cataract ke symptoms kya hote hain, isme usually kya hota hai aapki vision jo hoti hai woh dheere- dheere kam hone lag jati hai aap ko dur ki cheezein jo hain saaf nazar nahi aati hain, TV pe jo font hote hain woh aap ko saaf nazar nahi aa rahe hote, aap cricketers ka score acche se nahi pad pa rahe hote, even jawab drive kar rahe hote hain toh light aapko faily hui lag rahi hoti hai, yeh sab cheezein indicate karti hai ki aap ki aap ke saath kuch galat ho raha hai. So this is the time to you should go for an eye doctor to rule out whether you are having cataract or any other problem. Agar aap ka doctor, eye doctor aapko cataract diagnose karta hai to uska treatment sirf surgical treatment hota hai, koi medical treatment nahi hota hai iske liye. Surgical treatment mein hum microincision cataract surgery karte hain jo Phacoemulsification techniques se kiya jata hai, jisse bahut hai chote cheeray se, around 2 millimeter cheeray se, incision se hum cataract ko dissolve karke nikal lete hain aur uski jagah par artificial foldable intraocular lens ankh ke andar laga dete hain, jisse aap ki vision kafi acchi ho jati hai. Jo wo lenses hote hain woh monofocal hote hain matlab jo ki sirf dur ya nazdik ke liye kaam karenge. Multifocal bhi aate hain, multifocal mein aap ko dur aur nazdik dono jagah pe chashme ki requirement kam ho jati hai but uske sath kuch side effect bhi involved hote hain jaise aap ko night vision aapko driving me dikkat aati hai multifocal lenses ke sath. Toh good standard hum yehi kehke chalet hain ki monofocal lenses are the fantastic durable lenses. Surgery ke baad jo thoda bahut aapka glasses ka number badta hai, woh aapko chashmay de diye jate hain, surgery ke baad precaution bahut jyada nahi hoti hai sirf aapko ek se do hafte ke liye ankh me pani dalna hota hai aur dhul mitti se bachana hota hai aur aaj ke time mein jo surgery hai kafi predictable safe ho gayi hai aur surgery se related complication bahut kam ho gaye hain. Toh agar aapko koi bhi dikkat aati hai vision main, toh aapko apne eye doctor ko consult karna chahiye and he will decide that what problem you are having and what is the treatment.

Thank you very much.

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Know the effects of Diabetes on your Eyes

I am Dr Neeraj Sanduja, I am a retina specialist working at Fortis Hospital Gurgaon. And I got my home Centre Viviana and Retina centre in Gurgaon. Today I will be telling you out on a very important disease, diabetes and its effects on eyes. Diabetes can affect your eyes in 3 ways, it can affect your retina the back part of the eye or it can lead to early cataract or it can lead to glaucoma, kalamotia. Majorly I will be telling you upon how diabetes affects your eyes leading to loss of vision. Diabetes, high blood sugar level can damage our retina by making our blood vessels weak and give some blood to the retina leading to diabetic retinopathy. Diabetic retinopathy can lead to vision loss in the significant proportion of patient if they don’t control their diabetes. Even if your blood pressure is high along with the high blood sugar it can affect your diabetic retinopathy in a very bad manner. Patient with diabetes may not be known whether he is having retinopathy or not. So, it is very important as soon as you have diagnosed you have diabetes you should go to a retina specialist for complete dilated fundus examination which includes retina examination and your eye protection checkup and your even vision checkup also. Retina specialist checks the retina and tells you whether your retina is affected by diabetes or not. In case you don't have any in Diabetic retinopathy, then we will call you after 1 year, in case diabetic retinopathy is there, it can be a mild type of diabetic retinopathy or it could be a severe type of diabetic retinopathy. So depending on the condition of the retina the treatment will be given as a diabetic, you may not have any symptoms initially because unless the central part of the retina maqualising valve your vision will be good or unless your blood vessels they start rupturing and bleeding inside the eye, leading to flashes and floaters inside the eye you may not know something is going wrong. So going to a regular check-up to an eye doctor is very important. Once as the retina specialist will see that diabetic retinopathy is there, we offer treatment in form of some special types of injection like anti-VEGF injection within the eye to reduce the swelling in the retina or even treatment is given in form of laser photocoagulation to stop the bleeding vessels from rupturing. Sometimes the bleeding is so extensive within the eye that, we may have to offer with track me surgery to take out the blood. First and foremost thing is that you need to control your blood sugar that is the only way you can get relief from diabetic retinopathy because if the diabetic retinopathy sets in your eyes, it's like a termite, it's like a deemak. So you have to live with that whole life and with timely treatment and prevention, you can get away from this problem.

Thank you very much.

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Emergency Service

Doctors in Fortis Memorial Research Institute - Gurgaon

Dr. Neeraj Sanduja

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
89%  (10 ratings)
26 Years experience
1000 at clinic
₹200 online
Available today
02:00 PM - 05:00 PM

Dr. Ashok Kumar

MBBS, MD - Rheumatology
Rheumatologist
41 Years experience
1000 at clinic
Available today
10:00 AM - 04:00 PM

Dr. Arvind Sabharwal

Fellowship of the Royal College of Surgeons (FRCS), MCh-Pediatric Surgery, MS - General Surgery, MBBS
Pediatrician
41 Years experience
1000 at clinic
Available today
11:00 AM - 05:00 PM

Dr. Atul Mittal

MBBS, MS - Otorhinolaryngology, MS - ENT
ENT Specialist
29 Years experience
1200 at clinic
Available today
08:00 AM - 01:00 PM

Dr. Samir Parikh

MBBS, DPM (Psychiatry), MD - Psychiatry
Psychiatrist
23 Years experience
1200 at clinic
Unavailable today

Dr. Manoj Kumar Goel

SCCM , DIP , MD
Pulmonologist
27 Years experience
1200 at clinic
Available today
12:00 PM - 05:00 PM

Dr. Rana Patir

MBBS, MS - General Surgery, MCh - Neurosurgery
Neurosurgeon
28 Years experience
1200 at clinic
Available today
10:00 AM - 06:00 PM

Dr. Praveen Gupta

MBBS, MD, DM(Neurology)
Neurologist
17 Years experience
1400 at clinic
Available today
11:30 AM - 03:30 PM
06:00 PM - 07:30 PM

Dr. Gourdas Choudhuri

MBBS, MD Internal Medicine, DM Gastroenterology
Gastroenterologist
41 Years experience
1300 at clinic
Available today
10:00 AM - 04:00 PM

Dr. Anjila Aneja

MBBS, MD - Obstetrics & Gynaecology, DNB - Obstetrics and Gynecology, Royal College of Obstetricians and Gynaecologists (MRCOG), Diploma in Pelvic Laparoscopy
Gynaecologist
31 Years experience
800 at clinic
Unavailable today

Dr. Rahul Bhargava

MBBS, MD (General Medicine)
Hematologist
24 Years experience
900 at clinic
₹900 online
Unavailable today

Dr. Vikas Dua

MBBS, MD-Paediatrics, FNB in Paediatric Haematology Oncology, Fellowship in Paediatric Bone Marrow Transplants
Pediatrician
17 Years experience
1000 at clinic
₹500 online
Available today
02:00 PM - 06:00 PM

Dr. A.K. Kriplani

MBBS, MS - General Surgery
General Surgeon
42 Years experience
1000 at clinic
Unavailable today

Dr. Sunil Sanghi

MBBS, MD - Dermatology
Dermatologist
29 Years experience
1300 at clinic
Available today
12:00 PM - 04:00 PM
16 Years experience
600 at clinic
Available today
02:00 PM - 08:00 PM

Dr. Anita Sethi

MBBS, MD - Ophthalmology, DNB, Ophthlamology, FRCS
Ophthalmologist
32 Years experience
1000 at clinic
Available today
10:00 AM - 02:00 PM

Dr. Atul Luthra

MBBS, MD - Medicine , DNB (Endocrinology)
Diabetologist
38 Years experience
1000 at clinic
Available today
09:30 AM - 05:30 PM

Dr. Balvinder Rana

MBBS, MS - Orthopaedics
Orthopedist
23 Years experience
1000 at clinic
Unavailable today

Dr. Sandeep Vaishya

MBBS, MS - General Surgery, MCh - Neuro Surgery
Neurosurgeon
28 Years experience
1200 at clinic
Available today
09:00 AM - 10:00 AM
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Specialities

Cosmetic/Plastic Surgery

Cosmetic/Plastic Surgery

Offers various surgical and non-surgical procedures to patients willing to enhance their appearance
Pulmonology

Pulmonology

Offers specialized care in the treatment of pulmonary diseases and conditions
Dermatology

Dermatology

Aims to deliver the highest quality of care to patients with skin disorders
Ear-Nose-Throat (ENT)

Ear-Nose-Throat (ENT)

Aims to offer special care to patients with conditions related to the ear, nose and throat
Neurosurgery

Neurosurgery

Aims to deliver cumulative healthcare for disorders related to the brain and spinal cord
Neurology

Neurology

Offers specialized healthcare to patients suffering from disorders of the nervous system
Gynaecology

Gynaecology

A branch of medicine reserved especially for treating female conditions of the reproductive system
Pediatrics

Pediatrics

Aim to offer the best form of childcare to infants and children up to 18 years
Psychiatry

Psychiatry

Offers specific care to patients with any kind of mental illness or behavioural disorders
Ophthalmology

Ophthalmology

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

Rheumatology

Offers specialized healthcare in the treatment for arthritis and rheumatism
Cardiology

Cardiology

Aims to provide effective diagnosis and treatment related to cardiac and circulatory problems
Orthopaedics

Orthopaedics

Concentrates on efficient treatment of injuries and problems of the musculoskeletal system
Radiology

Radiology

A speciality, which uses hi-tech radio imaging for diagnosis of various medical conditions
Dentistry

Dentistry

Offers excellent dental care to patients with various oral and tooth conditions
Dietitian/Nutritionist

Dietitian/Nutritionist

Expertly offers advice in dietetics, including recommendations on planned diets to patients
Gastroenterology

Gastroenterology

Offers qualitative care to patients suffering from stomach and intestine problems
General Physician

General Physician

Aims to provide best quality care to patients with acute and chronic problems
Internal Medicine

Internal Medicine

Deals with the careful understanding and treatment of adult diseases
Diabetology

Diabetology

Nuclear Medicine Physician

Nuclear Medicine Physician

Uses advanced radiopharmaceuticals to treat a variety of medical conditions
Pain Management

Pain Management

Concerns itself with the effective diagnosis and management of various kinds of pains
Genetics

Genetics

Efficiently diagnoses and treats patients with hereditary disorders and conditions
General Surgery

General Surgery

Offers extensive care to patients suffering from abdomen related medical issues
Hematology

Hematology

Offers qualitative care to patients suffering from blood related disorders
View All Specialities

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How To Improve Your Eye Health?

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
How To Improve Your Eye Health?

There are many common measures people take to improve their eyesight or improve their vision, including wearing glasses, lenses, and many more. Here are some effective exercises which can prove to be highly beneficial to improve your eye health:

1. Stretching
This is the most common and also one of the easiest to do. It requires you to just look up, hold for two seconds, look down, hold for two seconds and then repeat this procedure for each corner of your eye, which means top-left, top-right, bottom-left and bottom-right corners.

2. Flexing
This is simply rotating your eyes in circles. Roll your eyes in the clockwise direction for one minute and then roll your eyes in the anti-clockwise direction for one minute.

3. Focus switching
This particular eye exercise is probably the most useful one to improve eye health. In this eye exercise, you have to hold something at a reading distance and cover the other eye. You then have to find something that is at least twenty feet away and trace its shape with one eye closed. With one eye closed, trace more shapes which are twenty feet away.

4. Palming
This exercise is also very simple to perform. All you have to do is cover your eyes with your palms. Once you have done this, just wait and see that there are no bright flashes of light. If you see that there is a bright flash of light, just wait till they go. This is used primarily to distress the eyes.

5. Deep blinking
This is also an incredibly useful exercise for distance vision. What you have to do is to place some large letters are at a fair distance and then sit on a chair. You have to then close your eyes and tighten all your muscles for 5 seconds. After 5 seconds are over, you have to open your eyes and then you have to see the letters for a second or two. The more number of times you do this, the more clearly you will be able to see the letters after reopening your eyes.

However, these eye exercises are not universally accepted by all doctors.

1 person found this helpful

Strange But Actual Reasons Behind Computer Vision Syndrome!

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
Strange But Actual Reasons Behind Computer Vision Syndrome!

Eye problems that are caused due to the computer can be termed as Computer Vision Syndrome. Staring a computer screen has become a part of our daily lives, for many of us. Work and pleasure both include using a computer or a tablet. Looking at this screen for prolonged periods can cause many problems including strain, pain and stress due to the repeated eyeball movements and non-blinking nature of the work that we do when we stare at a screen for many hours. Let us find out more about the causes of computer vision syndrome or CVS.

Repeated Movements: When the same motion is carried out on a continuous basis, it can lead to stress based injuries due to the strain and stress caused in that part of the body. Much like carpal tunnel syndrome and other injuries like tennis elbow and shoulder joint problems, this condition is also caused due to the constant and repetitive movements which are known to lead to stress injuries. The longer you continue the activity, the worse it is bound to get.

Focus: When you sit in front of a computer screen and work, one of the most important things that you are doing is called focus. When you focus on a screen on a continuous basis, to align your eyes with what you need to read or see, you are causing long term damage if this activity is carried out for too many hours on a daily basis. This back and forth motion that makes us focus can lead to pressure and strain on the eyes, which should be broken by concentrating on other activities like writing on a paper or reading from a book.

Eye Muscles: These types of movements and activities can actually put a lot of pressure and undue strain on the muscles of the eyes. Also, things become even more difficult for the delicate eye muscles with the glare and blue light emanating from the computer screen which also has other elements like a flicker. This causes the eyes to align themselves by putting pressure on the eye muscles, which makes working on a computer that much more challenging than reading a book.

Wrong Glasses or Lenses: If you have nearsightedness or farsightedness, then these problems can become even more severe due to this kind of condition. Also, if you are wearing the wrong prescription glasses or lenses, your eyes are bound to suffer even more when you stare at a screen for such a long time.

Apart from all these factors, working on a computer gets even more challenging after a certain age like your forties.

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5 Facts You Need To Know About Eye Donation

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
5 Facts You Need To Know About Eye Donation

If you’ve ever played Blind Man’s Buff you know how helpless it can feel to be unable to see. While some people are born blind, others lose sight as a result of health issues, accidents etc. Imagine how a person would feel to be able to see something for the first time or to regain their sight?

Every human being with sight can choose to donate their eyes after their death and gift another person vision. When it comes to eye donation, there is no restriction on the person’s age or overall health. Even a person who has had surgery on their eyes can choose to donate them as long as the cornea is unaffected. It is not only noble but the thought of being able to give some a chance to see the world with your eyes can give you immense joy.

However, just a thought is not enough, there are few other facts to be kept in mind before going for eye donation:

  1. Eyes need to be donated within 6 hours of a person’s death: For your eyes to be viable for a donation they must be harvested within 6 hours of death. Thus, if you choose to be a donor, it is important for you to inform your family and friends of this decision. Eye donation can also be authorized by the deceased’s next of kin.
  2. Donation does not cost money: There are no costs involved in donating your eyes. Profiting by buying and selling human organs and tissues is a criminal at and can be punishable by law.
  3. The whole eye is not transplanted: The most common cause of blindness is a damaged or diseased cornea. Thus, only this area is transplanted to enable a person to see. The cornea is a thin, transparent flap located in front of the colored part of the eye. Thus, donating eyes does not disfigure the deceased person in any way.
  4. Even people who wear spectacles can donate their eyes: Short sightedness or far sightedness are conditions caused by irregularities with the lens inside the eye and do not affect the cornea. Thus these conditions do not interfere with their ability to donate their eyes after death. Even people who have been operated upon for cataracts, retinal detachments or glaucoma may choose to donate their eyes. It is even possible for a person who has received a corneal transplant to donate their eyes as long as the cornea is healthy and clear.
  5. Corneal Transplants have a high success rate: There is no blood supply to the cornea and hence there is a very low risk of the body rejecting a donor cornea. In many cases, this rejection can be treated and suppressed with medication.

Though over 30,000 corneas are donated and transplanted each year, there is still a long waiting list at eye banks. Thus, it time you take a pledge to make someone else's life beautiful. Do not think twice about donating your eyes and encourage people around you to do so as well.

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Age Related Macular Degeneration

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
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Hi,

My name is  Dr. Neeraj Sanduja and me aaj apko age related macular degeneration ke bare btaunga. Basically ye retina ki problem hoti hai jo age ke hisab se kisi me bhi dekhi ja skti hai. Iske 2 stages hote hain: dry or wet. Dry me roshni kam hoti hai. Wet me bleeding ho jati hai or patient ko center me ek black patch dikhne lag jata hai or akshar thode tede mede dikhte hain. Durr ka nhi dikhta hai or jhan bhi dekhta hai, vhan center se kala or side se nazar aata hai. Iske kuch risk factors bhi hote hain jaise ultraviolet rays kafi role play krti hai. Diet me agar anti-oxidants nhi hai, us se bhi iske risk hote hain. Genetics bhi iska ek karan hai. Patient jab hmare pas aat hai to ek routine eye check-up hota hai.

Jisme agar hum dekhen ki dry hai to hum use anti-oxidants capsule dete hain. Vo in dhabbon ki rok tham krta hai. Or bleeding hone se rokta hai. Agar ye wet hota hai to isme khas injections lgaye jate hain kuch test krne ke baad. Injections bleeding ko rokte hain but ye injection 1 month ke lia hi kam krta hai. To isme hume 3 injections lgane hota hain 3 months ke treatment ke lia. Isme kayi medicines bhi use ki jati hain. Isme vision ya to ruk jati hai or kuch cases me improve bhi hoti hain. 100% improvement nhi hogi. Isme hum patient ko ek chart bhi dete hain jis se vo dusri aankh ko bhi monitor krta hai. Patient ko hum 4-6 months me review krte hain. Agar bich me koi problem aaye to patient hume aake dikha skta hai.

Thank You.

3531 people found this helpful

Cataract

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
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Hi,

My main is  Dr. Neeraj Sanduja and me aaj apko btanne ja rha hun vo hai cataract ke bare me. Cataract or safed motiya hota kya hai? Hmari aankh ki banavat ek camera ki trha hoti hai. Isme aage putli hoti hai, bich me lens hota hai, or piche retina hota hai. Jo image hai vo cornea ke through jati hai or retina pe focu hoti hai. Motiya me aankhon ka lens safed hone lag jata hai or ise hum cataract bolte hain. Iske kayi karan hai. Pehla karan hai age. Umar ke hisab se sab logon me ye problem milti hai. Iski shurat 50 saal ke bad hoti hai. Lekin kuch logon me cataract jldi aa jata hai jaise ki diabetics me ya injured eye ho. Even bachon me bhi cataract paya jata hai jise hum congenital ya developmental cataract bolte hain.

Question ye hai ki cataract ke symptoms kya honge? Pehle hai ki apki aankhon ki roshni kam hone lag jati hai. Kayi baar apki aankhon ki roshni din me kam ho jati hai or shaam ke time jyada ho jati hai. Even light ke around hellos nazar aane lag jate hain. To ye iske symptoms hain. Cataract rokne ke lia koi bhi medicine nhi bani hai jis se ye roka ja ske. Cataract age ke sath aata hai like after 50, 60 or 80. Surgery apko tbhi hi suggest ki jati hai jab apko day to day acclivity me problem ho. Pehle ke time according apka cataract remove tab kia jata tha jab vo badh jata tha lekin aaj kal treatment bhut advance hain. Aaj kal ki surfgery immature cataract me hi jki jati hai.

Jab apki roshni chashme ki help se bhi nhi badh rhi hai. Cataract surgery me jo latest treatment hai vo hai phocoemulsification technique. Jisko normal language me laser waves bolte hain. Iske throught hum bhut hi chote incision se andar jake cataract ko dissolve kar dete hain. Or ek fine lens apki ankhon me hum lag dete hai. Or is se aap apni ankho ki roshni ko restore kar lete hain. Lens jo aankh ke andar lgaya jata hai, ultrasound A-scan ke through power ko control kia jata hai or machine se lens ko aankh ke andar fir kar dia jata hai. Eyes ke anadar jo lens lgaye jate hain vo 2-3 types ke hote hain. Monofical lens ya to durr ki roshni ko thik krta hai ya paas ki nazar ko. And multifocal lens apke nazadik and durr ki roshni ko thik krte hain.

Lekin maximum time monofocal lens lgaye jate hain quki ye crystal clear hote hain. Is s night driving me dikkat nhi aati hai. Kuch logon ko multifocal lens ke sath chashma bhi lagana pad jata hai. Surgery ke baad kuch precautions leni hoti hain. Apko 1-2 weeks aankh me pani nhi dalna hota hai. Garam pani se eyelids ko clean krna hota hai taki koi infection na ho. Or hum apko eye drops bhi dete hain jo 4-6 weeks chalti hain. Or kuch lubricants drops 2 months ke lia chalti hai. Ye bhut hi simple surgery hai jo day in and out ka kam hai. Patient aata hai, surgery krata hai or fir ghar chala jata hai. To 2 hours ke andar apka sab kam ho jata hai.

Thank You.

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6 Ways To Protect Your Eyes During Diabetes

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
6 Ways To Protect Your Eyes During Diabetes

Diabetes is a condition characterized by an elevated level of the blood glucose due to the insufficient production of the Insulin by the Beta cells of the pancreas. The high blood glucose level can also be an outcome of the inability of the body cells to utilize or respond to the insulin produced - a condition termed as Insulin Resistance.

Today, Diabetes has become a raging problem affecting almost every second individual, irrespective of their age, sex or ethnicity. What is even worse is the fact that the metabolic disorder affects a host of the vital body organs including the eyes. In many diabetic patients (diabetes left unmanaged and uncontrolled for long), the high blood sugar or Hyperglycemia can give rise to many eye complications such as:

  • Diabetic Retinopathy (Hyperglycemia that triggers progressive damage of the blood vessels of the retina that can eventually even lead to blindness).
  • Incidences of Cataract (a condition that causes clouding of the clear eye lenses affecting one's vision) and Glaucoma (a severe eye problem that results from the damages to the optic nerve of the eye) are on a rise in diabetic patients.

Thus, it becomes essential to carry out the preventive measure to deal with diabetes-related eye problems and the associated complications.

Protecting the eyes from Diabetes

  1. Controlling Diabetes: Amongst different eye care or preventive measures, foremost is to make sure that diabetes and the blood glucose level are within control. A glucometer can help to monitor the blood glucose levels at home. Regular lab tests for Fasting and Post prandial(FBS, PP2BS) blood sugar tests should be done at a frequency advised by treating physician along with HbA1c. Eliminating the underlying factor can work wonders to avoid the various eye problems resulting from diabetes.
  2. Regular eye-checks: People with diabetes need to be careful. Consult your family physician or a specialist at the earliest for discomforts and symptoms such as a headache, watery eyes, blurred, distorted or double vision. Regular eye-checks and screening tests are equally important to safeguard the eyes from the harmful consequences of diabetes.
  3. Keep a check on other medical disorders: Conditions such as Hypercholesterolemia (elevated levels of blood cholesterol), high blood pressure, along with diabetes, are the worst nemesis that can result in a myriad of eye disorders. Make sure the blood pressure is within the control (to avoid complications, try to maintain a blood pressure below 140/80) and so is the level of bad cholesterol or LDL (Low-density lipoprotein).
  4. Keep your body moving: Exercises and physical activities (morning or evening walks, jogging) can play a pivotal role in keeping diabetes under control, thereby shielding the eyes from problems such as cataract, glaucoma. Keeping the body weight within the healthy and recommended range can also work towards managing the blood glucose level.
  5. Healthy dietary modifications: Diabetic patients should be careful with their choice of foods. Dark chocolates, lean meat, whole grains, fish, cinnamon, turmeric, fruits and vegetables such as broccoli, blueberries, spinach, walnuts, sweet potatoes, asparagus, apricots, apples, to name a few are healthy options for a diabetic patient.
  6. Smoking can spell doom for the eyes and is best avoided.
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Few Most Common Corneal Problems!

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
Few Most Common Corneal Problems!

The cornea is the transparent layer of the eye that acts as a protective shield. The cornea, in combination with the sclera, protects the eyes from various harmful microorganisms and particulate matter, including the harmful UV radiations (to some extent). The cornea is made up of three important layers, the Endothelium, Stroma, and the Epithelium.

  1. Endothelium: The inner layer of the cornea, the endothelium helps to maintain a clear vision by removing the excess fluid absorbed by the stroma. The mitochondria-rich single celled layer functions more like a pump.
  2. Stroma: The middle corneal layer is extremely thick (~90% of the total corneal thickness) and composed mainly of proteins and fluids. Like the endothelium, the stroma, too, plays a pivotal role in the normal eye vision.
  3. Epithelium: Being the outermost layer, the epithelium functions as a defensive shield, protecting the eyes from harmful germs, bacteria and any matter that can harm the eye. Most importantly, the epithelium absorbs the essential nutrients and oxygen (present in the tears). The cornea, thus, plays a pivotal role in the normal vision of the eye. However, an injury or an infection can interfere with the corneal functioning, affecting a person's vision as well as giving rise to other complications (the eyes may appear itchy, watery and red. There may also be light sensitivity).

Some of the common cornea problems include

  1. Keratitis: Injury or microbial (bacteria, virus or fungi) infiltration of the cornea can trigger this condition resulting in corneal infection and inflammation. Some of the symptoms characteristic of keratitis include extreme light sensitivity, blurred vision. The inflammation can also result in redness, pain (moderate to severe) and watery eyes. Antifungal, antiviral or steroidal eye drops may provide relief from the associated symptoms.
  2. Shingles (Herpes Zoster): This condition mainly affects people who have suffered from chickenpox. In some cases, the virus though inactive may still be present in the body (in the nerves). However, at a later period, certain factors may trigger its activation. Once active, the virus can affect different parts of the body, including the cornea. Shingles can cause corneal soreness and inflammation. Old people and those with a weak immunity are more likely to suffer from shingles. People with shingles may benefit from the administration of steroidal (tropical) and antiviral eye drops.
  3. Ocular Herpes: This is a viral infection triggered by Herpes Simplex Virus I (HSV I) or Herpes Simplex Virus II (HSV II) resulting in herpes of the cornea. The condition gives rise to corneal inflammation and sores. Here too, the patient can get some relief by using antiviral or steroidal eye drops.
  4. Keratoconus: This is a degenerative disorder of the cornea that results in thinning of the cornea. The condition can also alter the corneal shape, resulting in swelling, pain, and loss of vision (partial to complete, particularly the night vision).
  5. Fuchs' Dystrophy: This is a corneal dystrophy whereby the corneal endothelial cells break down at a slower rate than usual. As a result, the stroma may be waterlogged resulting in swelling and blurred vision.

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

3549 people found this helpful