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Opthal And ENT Examination Health Feed

Is Your Vision Clouded? It Could Be Cataract

MBBS, MS - Ophthalmology
Ophthalmologist, Jaipur
Is Your Vision Clouded? It Could Be Cataract
Cataract can be defined as the clouding of the natural lenses in the eyes. This is caused by the clumping of protein in the eye lens. Cataract is a common eye disorder and the leading cause of loss of vision in people who are past their fortieth birthday. Cataract can occur in one or both eyes. When diagnosed properly, cataract can be treated with surgery to prevent blindness.

Depending on where and how they develop, there are many types of cataract. The most common amongst these are:

1. Subcapsular cataract

These occur at the back of the eye lens. Diabetic patients are very susceptible to this kind of cataract.

2. Nuclear cataract

Yellowish-brown cataract that form in the center of the lens are called nuclear cataract. This is usually seen in cataract caused by ageing.

3. Cortical cataract

Cataract in the lens cortex are known as cortical cataract. These are wedge shaped and whitish in color. Spokes protruding out of these opaque wedges can be seen moving towards the center of the eye.

4. Congenital cataract

Though they are not common, babies can also have cataract. Cataract formed at birth or within the first year of a baby's birth are known as congenital cataract.

5. Secondary cataract

Cataract is one of the known side effects of diabetes and glaucoma. Some steroids and medicines are also linked to cataract.

6. Traumatic cataract

If your vision becomes cloudy years after an eye injury, it could be a traumatic cataract. It can take several years for this to happen.

7. Radiation cataract

Exposure to radiation can also lead to cataract. This is seen sometimes in patients who have undergone radiation therapy to fight diseases like cancer.

Though the type of cataract might differ from person to person, the symptoms are usually the same. Some of the common symptoms of cataract are:

1. Blurred vision
2. Reduced night vision
3. Increased sensitivity to light and glare
4. Seeing halos around lights
5. Colors appearing faded
6. Double vision

A reading test is the first step towards diagnosing cataracts. This is followed by tests to measure the eye pressure. Your doctor will also need to dilate the pupil to check the condition of the optic nerves and retina.

Surgery is the safest way to remove a cataract. Surgery is usually recommended when cataract begin inhibiting your daily life such as preventing you from driving, interfering with reading etc.

In most cases, this can be done as an outpatient procedure. The earlier it is diagnosed, the easier it is to treat. Hence, if you notice any of the symptoms mentioned above, get your eyes checked at once. The surgery is a day-care surgery only, so a person can go home the same day.


1178 people found this helpful

Hi, After Laser surgery for NA Glaucoma my IOP remained at 15/16mmHg for 5/6 years. Of late in 2018, it was 22/20mmHg without any apparent indication in premature. As precaution, Dr.advised to instill Xalatan once at night. Since last one year it is steady at 17/14mmHg. My vision is normal. Am I case for Surgery? Why IOP went High? Your opinion will be highly appreciated.

DNB Ophtalmology, MBBS
Ophthalmologist, Bangalore
Hi, After Laser surgery for NA Glaucoma my IOP remained at 15/16mmHg for 5/6 years. Of late in 2018, it was 22/20mmHg...
By laser surgery, did you mean just laser application or proper surgery for glaucoma was done? If after the laser or surgery, if iop rose, that means failure of the treatment. But since with eye drops, since the pressure is under control, leave it at it. But yes, regular 6monthly (atleast) follow up is needed.
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Sir, Am a diabetic for >12 yrs. Now under control with medicines. Attended Laser 5 sitting, Operation in one eye. 2 injections but still not given any improvement. Please advise.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
Sir, Am a diabetic for >12 yrs. Now under control with medicines. Attended Laser 5 sitting, Operation in one eye. 2 i...
It is very difficult. It is diabetic retinopathy. So try your best. Our aim should be tight control of diabetes and blood pressure. Further detioration should not occur.
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glaucoma can cure? I am 56 years old. Left eye totally damage, right eye also effected.

DHMS (Hons.)
Homeopath, Patna
glaucoma can cure? I am 56 years old. Left eye totally damage, right eye also effected.
Hi, Lybrate user, •Go for a walk in the morning to restore blood circulation to nourish your body. •Go for meditation to reduce your stress to keep intraocular pressure in control. •Tk,  plenty of water to hydrate your body. •Your diet be easily digestible on time to check gastric disorder that triggers eye pressure. •Keep in touch with your eye consultant, regularly. •Monitor your medication, ,always. •Regulate all sort of anti diabetics/ antihypertensive  norms ,if you are diabetic or hypertensive. •If you can't see in the night,  change your driving habits. •Tk, homoeopathic medicine:@ Staphisagria 30-5 drops,  thrice. Avoid, junkfood, alcohol and Nicotine. Tk, care.
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When Should You Opt For A Cataract Surgery?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD Ophthalmology, Senior Residency
Ophthalmologist, Delhi
When Should You Opt For A Cataract Surgery?
A cataract is defined as a clouding of lens in the eye where your vision gets blurred. A cataract affects the eyes, when light that passes through the lens prevents a clearly formed image from reaching your retina. The disease is very common and usually, develops as your eyes age or due to any injury caused to the tissues that cover your eye's lens.

Types of cataracts:

Senile Cataract: This is the commonest of all. It is age-related clouding of the lens. It can affect the near or distance vision and can also cause glare and change in glasses power.
Secondary Cataract: It can be developed after surgery for other eye problems like glaucoma and other health conditions such as diabetes.
Traumatic Cataract: It can develop many years later after an injury caused to your eye.
Congenital Cataract: As the term explains, the disease may be inborn or some children might develop it at a later stage which often affects both eyes.
Radiation Cataract: It can form after you are exposed to some form of radiation.
A cataract surgery involves the extraction or cleaning of the cloudy lens, which is then replaced by a clear artificial lens.

Why does it happen?

There are lenses that lies behind our iris and pupil which act much like a camera lens. It helps concentrate light onto the retina at the back of our eye to form a sharply defined image. Besides, the lens also helps our eyes to adjust focus and allows us to see things clearly both far away and up close. The lens is composed of protein and water where the protein is arranged in a manner to keep the lens clear thereby letting light pass through it.

However, as we grow old, some of the protein starts to become thick and cloud a small lens area. This is known as a cataract. With the passage of time, it may inflate and cover more of the lens, making it difficult for us to see.

Besides, there are other causes of cataract such as smoking, addiction of alcohol, prolonged sunlight exposure, to name a few.

When should you opt for a cataract surgery?

Believe it or not, but till date no eye drop or medication has proven to reverse or prevent the formation of a cataract. If a cataract is affecting your nearsightedness or alteration in your prescription, then new prescription eyeglasses may help to better your blurred vision. However, the only treatment for a cataract is the surgical removal of your natural lens. And, most eye doctors recommend this surgery only when the problem becomes severe and starts hampering your day-to-day activities, such as studying or driving at night.

If you would like to consult with me privately, please click 'Consult'.

Cataract surgery is a procedure to remove the lens of your eye and, in most cases, replace it with an artificial lens. Normally, the lens of your eye is clear. A cataract causes the lens to become cloudy, which eventually affects your vision.

Cataract surgery is performed by an eye doctor (ophthalmologist) on an outpatient basis, which means you don't have to stay in the hospital after the surgery. Cataract surgery is very common and is generally a safe procedure.

How a cataract affects your vision

Cataract surgery is performed to treat cataracts. Cataracts can cause blurry vision and increase the glare from lights. If a cataract makes it difficult for you to carry out your normal activities, your doctor may suggest cataract surgery.

When a cataract interferes with the treatment of another eye problem, cataract surgery may be recommended. For example, doctors may recommend cataract surgery if a cataract makes it difficult for your eye doctor to examine the back of your eye to monitor or treat other eye problems such as age-related macular degeneration or diabetic retinopathy.

In most cases, waiting to have cataract surgery won't harm your eye, so you have time to consider your options. If your vision is still quite good, you may not need cataract surgery for many years, if ever.

When considering cataract surgery, keep these questions in mind:

Can you see to safely do your job and to drive?
Do you have problems reading or watching television?
Is it difficult to cook, shop, do hardwork, climb stairs or take medications?
Do vision problems affect your level of independence?
Do bright lights make it more difficult to see?
Risks

Complications after cataract surgery are uncommon, and most can be treated successfully.

Cataract surgery risks include:

Inflammation
Infection
Bleeding
Swelling
Drooping eyelid
Dislocation of artificial lens
Retinal detachment
Glaucoma
Secondary cataract
Loss of vision

Your risk of complications is greater if you have another eye disease or a serious medical condition. Occasionally, cataract surgery fails to improve vision because of underlying eye damage from other conditions, such as glaucoma or macular degeneration. If possible, it may be beneficial to evaluate and treat other eye problems before making the decision to have cataract surgery.
2538 people found this helpful

I have a problem of anterior uveitis, complicated cataract and secondary glaucoma due to uveitis. From 1 month my pressure got elevated to 32. Doctor gave me latanoprost brinzox eye drops. I want to know does this condition of secondary glaucoma is curable or not I am very depressed.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I have a problem of anterior uveitis, complicated cataract and secondary glaucoma due to uveitis. From 1 month my pre...
In general, glaucoma cannot be cured, but it can be controlled. Eye drops, pills, laser procedures, and surgical operations are used to prevent or slow further damage from occurring. With any type of glaucoma, regular eye examinations are very important to detect progression and to prevent vision loss.
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Hyperopia - Its Treatments!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Hyperopia - Its Treatments!
Treatment of Farsightedness-

Homeopathic Treatment of Farsightedness
Acupuncture & Acupressure Treatment of Farsightedness
Psychotherapy Treatment of Farsightedness
Conventional / Allopathic Treatment of Farsightedness
Surgical Treatment of Farsightedness
Dietary & Herbal Treatment of Farsightedness
Other Treatment of Farsightedness
Homeopathic Treatment of Farsightedness-

Homeopathic remedies are useful in the treatment of various eye problems including farsightedness and shortsightedness. Some of the homeopathic remedies for farsightedness are:

Calcarea
Ruta
Apis
Pulsatilla
Silica
Acupuncture & Acupressure Treatment of Farsightedness-

Acupuncture helps to increase the blood flow to the brain and eye. It helps in stimulating the retinal nerve growth factors and leading to metabolic changes in the central nervous system. It focuses on the activation of eye muscles to facilitate eye focusing.

Conventional / Allopathic Treatment of Farsightedness-

The conventional or allopathic treatment for farsightedness is the use of glasses and contact lenses.

Surgical Treatment of Farsightedness-

There are different types of surgeries that are used in the treatment of farsightedness:

Photoreactive keratectomy (PRK) The process uses a laser to flatten the back of the eye to help the images focus more closely to the retina.
Laser-assisted in situ keratomileusis (LASIK) it involves cutting a flap in the cornea and then removing some of the corneal tissue with a laser, and then the flap is replaced.
Laser-assisted subepithelial keratectomy (LASEK) Instead of creating a flap in the cornea, the surgeon creates a flap involving only the cornea s thin protective cover (epithelium).
Dietary & Herbal Treatment of Farsightedness-

Eat plenty of fruits and vegetables
Eat dark green leafy foods
Eat foods rich in vitamin A
Avoid the intake of refined sugars and processed foods
What is Farsightedness?

Farsightedness or hyperopia is a condition where you see far or distant objects clearly, but not objects up close which get blurred. It is caused when light rays overshoot the retina and focus behind it.

Symptoms of Farsightedness-

Nearby objects may appear blurry
You need to squint to see clearly
Constant blurred vision
Eye strain, burning eyes and aching
General feeling of irritability and nervousness
Eye discomfort or a headache doing close tasks, such as reading, writing, computer work or drawing
Causes of Farsightedness
Eyeball being too small
The focusing power being too weak
Risk factors of Farsightedness-

Hereditary factors
Complications of Farsightedness-

Glaucoma
Lazy eye
Crossed eyes
Diagnosis of Farsightedness-

Farsightedness is diagnosed by a basic eye exam. A complete eye examination involves the following tests.

Eye movement testing
Glaucoma testing
Refraction test
Retinal examination
Slit-lamp examination
Visual acuity
Precautions & Prevention of Farsightedness-

Eat plenty of fruits and vegetables
Do not smoke
Use good lighting
Use the right glasses
Wear sunglasses that block UV radiation
Have your eyes checked regularly
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My mother is diagnosed with moti bindu in her eyes recently and she has been asked to get it operated. It there any other way to get rid of it? Please help.

BHMS
Homeopath, Hyderabad
My mother is diagnosed with moti bindu in her eyes recently and she has been asked to get it operated. It there any o...
Do not worry and go for the operation. Please read about cataract and it's removal from the internet and the types of procedures involved ). It can be done free of cost at government hospitals, and at subsidised rates at eye camps. It costs more at private hospitals (rates may vary from one hospital to another depending upon the procedure and the lens used ).
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After the cataract operation held before 10 days, Deximon ps and gatilox hs this eye drops are used. But suffering with nausea and vomiting and watery stools.

NCCH & MCH
Homeopath, Raebareli
After the cataract operation held before 10 days, Deximon ps and gatilox hs this eye drops are used. But suffering wi...
Dear user kindly take Pulsatilla 200 a single dose and consult with me thereafter for further course of medication.
1 person found this helpful
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Glaucoma - Homeopathic Treatment!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Glaucoma - Homeopathic Treatment!
Glaucoma - Homeopathic Treatment

It is a condition that causes damage to the eye's optic nerve and gets worse over time. It's often linked to a buildup of pressure inside your eye.
The increased intraocular pressure can damage the optic nerve, if the damage continues, glaucoma can lead to permanent vision loss. Without treatment, glaucoma can cause total permanent blindness within a few years

Causes-

It s the result of an intrinsic deterioration of the optic nerve, which leads to high fluid pressure on the front part of the eye.
Normally, the fluid, called aqueous humor, flows out of the eye through a mesh-like channel. If this channel gets blocked, the liquid builds up. The reason for the blockage is unknown,
It is more likely to get it if persons
* are of African-American, Irish, Russian, Japanese, Hispanic, Inuit, or Scandinavian descent
* are over 40
* have a family history of glaucoma
* have poor vision
* have diabetes
* take certain steroid medications, like prednisone
* have had trauma to the eye or eyes
Types of Glaucoma-

There are two main types

Open-angle glaucoma- It is the most common type. It also calls wide-angle glaucoma. The drain structure in the eye -- it s called the trabecular meshwork -- looks normal, but fluid doesn t flow out as it should.
Angle-closure glaucoma- It is less common. It is called acute or chronic angle-closure or narrow-angle glaucoma. The eye doesn t drain right because the drain space between the iris and cornea becomes too narrow. This can cause a sudden build-up of pressure in your eye. It s also linked to far sightedness and cataracts, a clouding of the lens inside your eye.
Signs and Symptoms- The signs and symptoms of glaucoma vary depending on the type and stage of your condition. For example:
Open-angle glaucoma-
* patchy blind spots in your side (peripheral) or central vision, frequently in both eyes
* tunnel vision in the advanced stages


Acute angle-closure glaucoma-
* severe headache
* eye pain
* nausea and vomiting
* blurred vision
* halos around lights
* eye redness


Diagnosed-

Tonometry to check the eye pressure.
Visual field test,
Homeopathic Medicines-

Phosphorus: 200
1. Optic nerve is damaged (atrophied).
2. Tiredness of eyes all the time. The eyes seem very tired even when they are not engaged in much work.
3. The vision is blurred and the patient feels that every object is under the cover of dust when he or she looks at it.
4. Halos around light is also an important symptom.
5. Slightly improved vision by shading the eyes with hands. By doing this, the objects that look blurred seem somewhat clear.

Comocladia 30
1. Glaucoma with pain,
2. Fullness sensation in eyes. The fullness is mostly accompanied by pain in eyes.
3. The eyes feel very enlarged esp in nigh. The eye pain gets worse by warmth and better in pain and eye fullness in open air.

Belladonna 30
1. Belladonna is the best for acute symptoms in a patient of glaucoma.
2. Sudden increase in dimness of vision.
3. The eyes appear red. This is accompanied by a severe pain in eyes and head. The pain is very violent in character.
4. Nausea and vomiting.

Osmium 30
1. It is of great help in improving dim vision.
2. The intraocular pressure is raised.
3. The patient is the display of various changeable colours of an object when looked at from different angles like a rainbow (iridescent vision).
4. The patient may also have intolerance to light.

Physostigma 30
1. Glaucoma following injury,
2. Dim vision, blurring of vision or partial blindness.
3. Pain in eyes. The pain is usually worse after using the eyes.
4. Glaucoma with myopic condition

Prunus spinosa 30
1. Sudden pain in right eye as a result of glaucoma.
2. Pain in eye is so acute and violent that it results in a bursting sensation in the eyeball.

Cedron 30
1. Cedron is centered on the left eye of a glaucoma patient.
2. Severe, violent pain in the eye, especially left eye.
3. The onset of pain may show certain periodicity in its occurrence. The pain may radiate to the nose.

Gelsemium 30
1. Dilatation of pupils. Disturbed accommodation.
2. Pain in eyes with or without lachrymation.

Spigelia 30
Pain sharp and stabbing through the eyes and head worse on motion and night. Or doing fine works.