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Dr. Shiv Nath Das's clinic

Ophthalmologist Clinic

Sankara Jyoti, B D Sopan, 5/1, Madhusudan Mukherji Road, Kolkata Kolkata
1 Doctor
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Dr. Shiv Nath Das's clinic Ophthalmologist Clinic Sankara Jyoti, B D Sopan, 5/1, Madhusudan Mukherji Road, Kolkata Kolkata
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Dr. Shiv Nath Das's clinic
Dr. Shiv Nath Das's clinic is known for housing experienced Ophthalmologists. Dr. Shiv Nath Das, a well-reputed Ophthalmologist, practices in Kolkata. Visit this medical health centre for Ophthalmologists recommended by 54 patients.

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MON-SUN
10:00 AM - 07:00 PM

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Sankara Jyoti, B D Sopan, 5/1, Madhusudan Mukherji Road, Kolkata
Kolkata, WestBengal
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Cornea - 5 Problems That Can Affect It!

MBBS, DNB (Ophthalmology), ROP
Ophthalmologist, Coimbatore
Cornea - 5 Problems That Can Affect It!

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.

Pre-surgery Testing - Know The Importance!

MBBS, MS
Ophthalmologist, Navi Mumbai
Pre-surgery Testing - Know The Importance!

Any patient who needs to undergo cataract surgery must be evaluated in a thorough manner so as to establish the requirement, appropriateness, expected surgical problems, expected benefits and co-morbid conditions having an influence on cataract surgery.

The preoperative assessment consists of--

A test for your existing glasses prescription:

It is useful for your cataract surgeon to know your existing glasses prescription in cases where there is a high refractive error (people who are very short or long sighted), in order to plan to correct this error after cataract surgery.

A full ocular examination: This includes looking at-

  • The eyelid anatomy and inflammation.
  • The state of the tear film, dry eye changes could make surgery difficult
  • The presence of abnormalities in the cornea that could make visualisation of the cataract difficult during surgery.
  • The amount of dilation the iris undergoes with dilating drops.

The type of cataract. Soft cataracts can be aspirated. Hard cataracts need more ultra-sound energy and surgical time to break up and remove. White cataracts may need trypan blue staining to visualize the capsule.

The measurement of intra-ocular pressure. With this test, we aim to exclude glaucoma and ensure optimal control of immediate pre-operative and intra-operative eye pressures often with extra eye drops that temporarily lower eye pressure.

Biometry Tests

This is a simple pre-operative measurement. It calculates the correct power of artificial intra-ocular lens. They will be implanted into your eye once your cataract is removed.

Corneal Topography

This is a test to map out the corneal curvature in greater detail. It is used prior to premium IOL Implantation like Toric IOLS either monofocal or multifocal , to ensure avoid postoperative refractive errors. This extra test is only required if the biometry readings show larger than normal differences in keratometry readings.

Optical Coherence Tomography (OCT)

This test allows detailed visualisation of the macula (the central sensitive part of the retina used for fine vision). If the ophthalmologist suspects any macula changes that may prevent a patient from visual improvement after cataract surgery, he always suggest optical coherence tomography.

Blood Pressure Measurements

It is very important to know your blood pressure measurements before your cataract operation. The risk of having a bleed at the back of your eye during cataract surgery (supra-choroidal haemorrhage) is very small (1 in 10000). But is higher if you have uncontrolled blood pressure.

Blood Sugar Measurements in Diabetic Patients

Cataract surgery itself does not affect your blood sugar measurements if you are diabetic. A routine checkup of blood sugars in diabetics before cataract surgery is done and the surgery if often delayed if the levels were greater than 20mmol/L as the risk of post-operative infection is higher. In case you have a concern or query you can always consult an expert & get answers to your questions!

2 people found this helpful

I feel my eyes stressed these days. I work on laptop and I am also not able to take full sleep due to these.

BHMS, MD - Homeopathy, Special Course
Homeopath, Rajkot
I feel my eyes stressed these days. I work on laptop and I am also not able to take full sleep due to these.
It's a common problem but you have to very careful about it don't keep on laptop for more than half hour continues because it create progressively refractory error. Regards.
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My eyes stay yellow all the time. I smoke everyday do you think that's the reason for it. Is there any way to make them white.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath,
My eyes stay yellow all the time. I smoke everyday do you think that's the reason for it. Is there any way to make th...
Yes, yellow eyes is sometime indication of Jaundice and may be due to smoking. So better you go for tests for Jaundice.
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I am a male with age 56. My both eyes are operated for cataract 2/3 years ago. Recently I have feeling difficulty in night driving like one year before operations. There is very less difficulty during day time. What may be the reason? My doctor says some problems in back side of eye and needs a minor operations again. Please if any medication can help?

BHMS, MD - Homeopathy, Special Course
Homeopath, Rajkot
I am a male with age 56. My both eyes are operated for cataract 2/3 years ago. Recently I have feeling difficulty in ...
See its a normal thing that reflection causes problem in eye sight for such patient and don't do any surgery and as far as possible try to avoid it and homeopathic medicine helps to improve eye sight. Regards.
1 person found this helpful
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Hi, In My Fathers Eyes 2-3 Days Ago Was Dark Red. Doctor Gives Him Eye Drops And Eye Tube But No One Can Cure His Eyes Now What Will We Do. For Red Eye Right Side Eye Was Dark Red And Right One Eye Was Become Small Than Left Side Eye.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi, In My Fathers Eyes 2-3 Days Ago Was Dark Red. Doctor Gives Him Eye Drops And Eye Tube But No One Can Cure His Eye...
Hi lybrate-user. If it is just 2-3 days then you should not be over anxious. And don't label it as incurable. Sometimes infections of some bacterias or virus especially takes longer time to go. It is not like it will go in a day. So better don't panic. Consult an eye specialist again and continue the treatment. If you want homoeopathic treatment you can consult me through Lybrate.
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Muje eyes me problem hai. Muje thik se dikhai nahi deta me sirf 20 saal ki hu. Muje meri vision 6.6 ki chahiye please kuch homeopathic bataye ke. Me achhe se result ho jaye. Muze gov job ke liye. Chahiye please.

BHMS, PGDPC
Homeopath, Nashik
Muje eyes me problem hai. Muje thik se dikhai nahi deta me sirf 20 saal ki hu. Muje meri vision 6.6 ki chahiye please...
Take homeopathic medicine for best results. 1) Retina 30. 4pills. At morning. 2) Euphrasia 30. 4pills at night. For 30 days 3) Cineraria matricaria Eye drop daily 3 times.
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I am 30 years old man I have cataract in my both eyes pls give me some advice for better treatment my eyesight is very weak.

Bachelor of Naturopathy & Yogic Sciences (BNYS), M.sc in yoga and naturopathy, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Bachelor of Physiotherapy
Ayurveda, Delhi
I am 30 years old man I have cataract in my both eyes pls give me some advice for better treatment my eyesight is ver...
You need to protect your eyes from dirt dust. Avoid reading in dim light, also avoid very bright light exposure to your eyes. Get your eye sight checked regularly. Include green leafy vegges, carrot, fatty fish, eggs, nuts, fresh fruits to your diet. Drink good amount of water daily. Practice yoga (trataka) .do regular exercises.
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