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Even something as small as an eyeball, has multiple parts within it. The retina at the back of the eyeball is responsible for the clarity of vision. The central area of the retina is known as the macula. Macular degeneration is the deterioration of this part of the retina. Macular degeneration is age related and is considered as an incurable condition. People suffering from macular degeneration experience blurred vision, black spots and may eventually lose central vision while retaining peripheral vision.
There are two types of macular degeneration; wet and dry. The dry form of this disease is more common than its wet form. Of these, the latter causes more serious vision loss. Dry macular degeneration leads to white or yellow deposits on the retina leading to further degeneration. In the wet form of this disease, blood vessels beneath the retina start growing towards the macula and may pull it away from the base when they break or leak fluid.
There are three stages of age related macular degeneration (AMD):
- Early AMD: This is diagnosed by the presence of deposits on the retina. In most cases, ether is no vision loss at this stage but regular check-ups are essential.
- Intermediate AMD: A comprehensive eye exam will show the presence of larger deposits or pigment changes in the retina. At this stage, slight vision loss may be experienced.
- Late AMD: People suffering from late AMD have noticeable vision loss. Though this disease is linked to aging, the exact triggers for macular degeneration are unknown. It is understood to be a combination of hereditary and environmental factors. The presence of certain genes and their variants has been associated with a number of cases of this disease. Studies also show that caucasians are at the highest risk of suffering from this disease. Depriving cells in the retina of oxygen can also increase a person's risk of contracting this disease. Other risk factors for this disease are obesity, smoking, high blood pressure and a light eye colour. The side effects of certain drugs can also induce this condition.
Macular degeneration is considered to be incurable, but certain forms of treatment can improve vision and slow down the rate of deterioration. Treatment prescribed by a doctor depends on stage of the disease and whether it is wet or dry. Studies suggest that a diet rich in Omega-3 fatty acids can prevent AMD and lower the risk of its progression.
Hi, I am 22 years old, my eye site is 6.0 and I am using Purccon daily were contact lens science last 3 years (changing every year as my doctor suggested), I still didn't get any problem, but recently I start preparing for some competitive exams due to that I am wearing more than 15 hours, is it safe? How many hours per day one can wear daily wear contact lens?
I am suffering from headache since last 12 days. Eyesight normal. Taking Nimesulide and paracetamol tab. And omeprazole & Domperidone cap. please help.
Hi. I'm a student. Mostly I spent my day ingront of my computer. I have glasses also. So is it ok to spend time on computer screen so much? Also i'm getting little headache when I wake up in the morning? Why is that?
I am 25 years old. My symptoms are heaviness in head, headache, trembling, palpitation, deep breathing, incontinence of urine, nervousness, restlessness, pressure in eye, problem seeing in sun light, forgetfulness, dry lips etc. Please help me.
Whenever I read my books my eyes got pain and water come from eyes and it itches heavily. If I rubbed my eyes it got reddish in colour. I suffered a lot. Please tell an idea to cure my problem.
Amblyopia is commonly known as 'Lazy Eye'. It is a vision development disorder, which affects eyes and the brain during infancy and childhood. It signifies that the eye does not achieve a normal visual acuity even with refractive correction in form of glasses or contact lens. During normal visual development, the eye and brain learns to 'see' and develop binocularity, that is the ability to perceive depth (Stereoacuity). This occurs in the first 8 to 10 years of life.
Each eye transmits a clear and identical image from retina to the brain, which fuses the two images into a single image with 3 dimensions ( adding depth). When the image is formed on the retina of two eyes is too dissimilar, the brain cannot fuse the two images and suppresses the more blurred image. As a result, the worse eye does not learn to 'see' and becomes 'lazy'. This condition is seen in 1-4% of population.
The common causes for dissimilar images or Amblyopia are:
1. Misalignment of the eyes or squint: It is the primary reason for Amblyopia is misalignment of the eyes. In case, both your eyes are not aimed in the same direction, the image captured by each eye is different , resulting in diplopia. The brain will see from the dominant eye and suppress image from the other eye. Over a prolonged period of time, the eye dissociates from the visual cortex of the brain.
2. Refractive Amblyopia:
- Unequal refractive error in both eye. When the eye power of both eyes differ by more than 1.5D of spherical equivalent, which results in dissimilar images between the two eyes. As a result, the visual development in restricted in the worse eye.
- High refractive error or astigmatism in both eyes, since there is a blurred image in both eyes, the normal vision development does not occur in either eyes resulting in bilateral lazy eyes.
3. Cloudiness in visual system or visual deprivation Amblyopia: Any kind of obstruction or cloudiness in the normal visual axis of the eye tissues can lead to Amblyopia. Disorder of any kind, which blocks a clear image from being focused blocks the formation of a clear image on your retina. Commonly due to congenital or developmental cataracts or corneal opacities or prolonged closure of one eye in early childhood( drooping of one eyelid, eyelid swelling, patching of one eye).
Treatment for Amblyopia: For treatment of Amblyopia, a child must be compelled to utilize his affected, weaker eye. This can be done by correction of causative factor such as, treating refractive error with glasses, surgical correction of misalignment of eyes followed by patching and vision therapy, cataract surgery.
Patching or occlusion of the good eye: This is done to force the brain to pay attention to visual input from the worse eye. This allows nerve connections between affected eye and brain to develop due to, which the eye 'learns to see'. Eye drops such as atropine are also used for blurring the vision of the good eye. Some form of vision therapy may also be required to train both eyes to see together and develop some degree of depth perception.
To be effective, treatment should be implement as early as possible , within the period of normal visual development best within first 8 years of life. Some visual gain has been seen in selected patients up to age of 14 to 18 years. This also highlights the importance of a comprehensive eye examination as a routine in young children. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.