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.
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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.
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Dr. Neeraj Sanduja is a reputed eye specialist with 18 years of rich experience as a Vitreoretinal Consultant. Dr. Sanduja completed his MBBS degree from PGIMs Rohtak and MS in ophthalmology from the same institute. Currently, Dr. Sanduja works as a Senior Consultant-Ophthalmology (Vitreoretinal) in Paras Hospitals, Gurgaon. His previous experience includes a stint at William Beaumont Hospital, Michigan, the USA as a Visiting Fellow in Paediatric Retina.
Dr. Sanduja has been involved in the organisation of various national and international conferences on subjects such as Diabetic Retinopathy, AMD and Retinopathy of Prematurity. Dr. Sanduja has always excelled in his profession as well as academics. He has multiple fellowships like FICO (UK), FRCS (Glasgow) & FAICO (Retina). He was awarded the Best Ophthalmologist in Delhi/NCR (2015) by the IMA. He has published numerous papers in various national and international publications. His area of expertise includes Vitreoretinal Laser Surgery, Disease of Retina and UVEA, Diabetic Retinopathy, Retinal Detachment, Ocular Trauma, Retinopathy and Macular Hole.
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Dr. Neeraj is well understanding and provided the instructions to clear dryness of my eyes
Nawal Kishor Mittal
Doctor suggested to dilate the eye and revisit next visit
Nawal Kishor Mittal
Doctir advised to dilate your eye revisit next week
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:
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.
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.
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.
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.
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:
- 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.
- 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.
- 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.
- 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.
- 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.
Macular degeneration, also known as age-related macular degeneration, is a medical condition which may result in blurred or no vision in the center of the visual field. Over time, however, some people experience a gradual worsening of vision that may affect one or both eyes.
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
- 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.
- 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.
- 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).
- 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.
- 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.
- Smoking can spell doom for the eyes and is best avoided.
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.
- 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.
- 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.
- 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
- 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.
- 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.
- 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.
- 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).
- 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!
The cornea refers to the dome-like structure visible at the front of the eye. This is the outermost layer of the eye. The cornea protects the eye against germs, dirt and other harmful particles and helps focus light coming into the eye onto the retina to create an image. It also acts as a filter against UV radiation produced by the sun. In the case of injuries to the cornea due to scarring or eye diseases a corneal transplant may be advised. This is also known as keratoplasty.
The first step for a corneal transplant is to add the patient’s name to the transplant list at the local eye bank. A transplant can only be performed after a donor's eye is made available. The surgery is usually performed as an outpatient procedure and takes a maximum of 2 hours.
Local or general anaesthesia may be used for this procedure depending on the patient’s age, overall health and personal preference. A lid speculum is then used to keep the eyelids open through the surgery. A circular section of the injured cornea is then removed using a surgical tool or a laser beam. A matching section from the donor cornea is then used to replace the removed section and stitched into place. These stitches usually stay in place for a year after the surgery.
The healing of the cornea is a slow process and hence to prevent any injuries to the eye, a protective shield is usually worn over the eye for a few months. Patients may experience mild discomfort and blurred vision for the first few months after surgery. Steroid eye drops may also be prescribed to help the body accept the transplant and control infections. These eye drops will need to be used for up to a year after the surgery. As the cornea heals, the patient’s vision will improve. The results of a corneal transplant are said to have a life of about 10 years. However, this depends on the root cause of the problem.
Corneal transplants have a very high success rate but in rare cases, the eye may reject the transplant. Glaucoma and corneal swelling caused by an earlier cataract surgery can increase this risk. However, if this rejection is detected early enough, the process can be reversed. Some signs to look out for that may indicate that your body is rejecting the transplant are increased sensitivity to light, redness, pain and decreased vision. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am using lubrifresh and acupat since two days but my eyes are swelling and I am very tense I want to know if there is possible due to diabetes or any other reason than I should consult doctor again or it is casual or serious problem please tell me what I should do.
Diabetes is a scourge that has been spreading like wildfire across the globe. It is one of the major public health concerns of the modern era. Diabetes not only causes damage to your internal organs but will also take a toll on your eyes if left unchecked. Retinopathy, glaucoma, cataracts and blurry vision are common phenomena accompanying diabetes.
You may not notice it at first. Symptoms can include:
Blurry or double vision
Rings, flashing lights, or blank spots
Dark or floating spots
Pain or pressure in one or both of your eyes
Trouble seeing things out of the corners of your eyes
Thus Comprehensive Dilated Eye Exam plays an important role to detect it.
Here are some common Diabetic Eye Problems:
Blurry Vision: Do things turn blurry for you at times? Well it is not your glasses which are at fault but your high blood sugar count swelling up the lens within your eye and changing your ability to see. In order to correct your vision, you need to try bringing your sugar level back to the optimal range, which is 70 to 130 milligrams per deciliter. Do call on a doctor if the situation persists or deteriorates further.
Cataracts: Your eye lens is just like a camera that enables you to see through it by focusing on a particular object. If you have cataract, your otherwise clear lens gets shrouded a layer making it opaque and cloudy. You tend to face difficulties in the form of glares, blurred or clouded vision, and blind spots among other problems. Diabetics are prone to acquiring cataract much earlier than others, with the condition worsening subsequently. They are removed via surgery where your doctor substitutes your hazy lens with a new artificial one.
Glaucoma: You eye transmits images to your brain through the optic nerve. Pressure may build up within the optic nerve resulting in damage and ultimately causing total or partial blindness. This is a fairly common disorder with diabetics and a large number of cases pertaining to blindness due to diabetes are caused by this. Usually, glaucoma can be treated with laser, surgery, eye drops or medicines. It is important to visit a doctor as it can help stop the progression of the disorder much earlier.
Diabetic Retinopathy: The retina is a cluster of cells behind your eyes that absorbs light and converts them into images that are sent to the brain via your optic nerve. High blood sugar count can actually wreak havoc on the tiny blood vessels within your retina giving rise to diabetic retinopathy. Symptoms may include blurry vision, seeing spots, blind spots and difficulty in low light or night time. Retinopathy can cause you to progressively go blind and thus it is imperative that you go for periodic check-ups and keep your diabetes under control.
Control and Prevention
If you have diabetes, you are not doomed to develop diabetic eye disease. Although you are at risk, you have the ability to control your diabetes so your vision is not compromised. Controlling diabetes requires you to monitor your blood sugar levels regularly. Follow some steps to help you control and preserve your vision:
Taking your Medicines regularly as prescribed by your doctor. Skipping of medication may leads to irregular control and is more hazardous.
Eating Right food is essential when trying to prevent or control diabetes. Eat a diet that is high in nutrients, low in fat and moderate in calories. A high-fiber diet with low glycaemic index foods (slow-release carbohydrates) will keep blood sugar steady and make you feel full. Although you do not need to eliminate sugar completely, you must limit sugar to a small serving. The good news is that as you cut sweets, your cravings will change and you will naturally desire more healthy foods.
Keep your A1C level under 7%: A1C is a test you have during a visit to your endocrinologist to determine how well-controlled your diabetes has been during the previous 2-3 months. Keeping your blood glucose in this target range means less damage to the delicate blood vessels around your eyes.
Control blood pressure and Cholesterol Levels: People with diabetes have a greater chance of having high blood pressure and Cholesterol, which can cause eye blood vessel damage.
Regular Physical Exercise can help you control your blood sugar, increase fitness and reduce your risk for heart disease and nerve damage. You must track your blood sugar before, during and after exercise to prevent hypoglycaemia.
Annual comprehensive eye exams: If you are pre-diabetic or diabetic, it is even more important to have Complete Dilated eye exam to initially get baseline recordings of the eye conditions and then regular yearly follow-up visits to monitor changes in your vision. If you notice blurred vision and you have had diabetes for a length of time, it might be a signal you need to keep tighter control of your glucose levels.
In case you have a concern or query you can always consult an expert & get answers to your questions!