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Dr. Sandeep Haridas Asher

Ophthalmologist, Mumbai

Dr. Sandeep Haridas Asher Ophthalmologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sandeep Haridas Asher
Dr. Sandeep Haridas Asher is a renowned Ophthalmologist in Dadar West, Mumbai. You can meet Dr. Sandeep Haridas Asher personally at Adkar Polyclinic in Dadar West, Mumbai. You can book an instant appointment online with Dr. Sandeep Haridas Asher on Lybrate.com.

Lybrate.com has a number of highly qualified Ophthalmologists in India. You will find Ophthalmologists with more than 44 years of experience on Lybrate.com. You can find Ophthalmologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Clinic No 119, Joglekar Building, Dadasaheb Rege Marg, Shivaji Park, Next To Chandragupt Hotel, Dadar WestMumbai Get Directions
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Planning for Cataract Surgery

MBBS, DOMS, MS - Ophthalmology, , Fellowship in phacoemusification
Ophthalmologist, Patna
Planning for Cataract Surgery

Planning for a cataract surgery in the family. Here are the must know and eye opening facts.


 

Common public is often sensitized by marketing executives to go for expensive lenses in hospitals without thinking whether patients actually needs them or not as the lens mrp is 2 to 10 times the actual cost price or patient is implanted a extremely low cost lens usually in name of free surgery in charitable hospital.


 

Lens is major factor which determines the cost and quality of cataract surgery and its price varies from Rs. 500 to Rs. 50000.


 

Another important factor is the expertise and experience of surgeon which is a major determinant of surgical outcome.


 

Charitable surgery by charitable hospital exists only where external implants are put in patients like eye, orthopedics etc and not in neurosurgery, ent, general surgery, plastic surgery where mostly removal of the diseased part is done or modification of the surgical site is done. Charitable surgery by eye hospital is supported by vision 2020 of who.


 

The chances of eye infection increases if your surgery is listed lower down as compared to the first surgery on that day.


 

Patients are advised to have their surgery listed as first or second case. With improving standards of ot and sterilization of instruments, the infection rates have decreased drastically but why take a chance.


 

Once there is an eye infection following cataract surgery, there is little hope of return of vision.


 

Patient is advised to choose his doctor and institution or hospital where he is getting the surgery done based on its doctor's past reputation and the reputation of institution and should not get lured by free surgery camps and unless he can't afford to pay, since infection following cataract surgery needs at least 48 hours to manifest and its risk is extremely high in eye camps despite taking various measures due to unavoidable circumstances. Its your eyes after all!


 

Now patient should be aware of various types of iol (intraocular lenses) and its benefit over other lenses.


 

Cataract is also called'motiyabin" in hindi. Phacoemusification also called phaco is the most common procedure done for its removal.


 

Here is a complete summary of type of lens implanted in cataract surgery and it's pros and cons.


 

Monofocal lens- here you will need glasses to look at the near objects after cataract surgery.


 

Accommodating monofocal lenses (crysta lens)-a newer option, accommodating monofocal lenses, can shift from near to far vision in response to movements of the ciliary muscles in your eye, similar to the natural lens in a younger eye. These lenses offer excellent distance and middle vision, but they aren't as reliable for near vision. Eye exercises can help you get used to them, but about half of people who receive them still end up needing reading glasses.


 

Toric lenses-these specialized monofocal lenses are designed for people with astigmatism. Toric lenses offer focused vision at a single distance and correct your astigmatism, so you might not need distance glasses after surgery.


 

Multifocal lenses-like the bifocal or progressive lenses used in glasses, multifocal lenses have different areas designed for distance, intermediate, and near vision. The brain and eye figure out which part of the lens to use. The main drawback of multifocal lenses is they can distort bright light, creating more glare and halos at night.


 

Aspheric lens-designed to improve contrast sensitivity and visual clarity under certain circumstances.


 

Monovision-this implant technique uses a monofocal lens with a different power in each eye so that you don’t have to use glasses for most of your daily activities. Your dominant eye is generally set for distance, and the other eye is set for near. Many people successfully use monovision with contact lenses. Successful monovision requires cataract surgery to each eye.


 

One should remember that all that glitter is not gold in this commercialized world


 

Doctor has done 10000 phaco surgery and 50000 eye surgeries since 1986 and has pioneered phaco surgery in 1995 in bihar and jharkhand and was second person to do this surgery in whole of east india.


 

Consult online/book physical appointment/take a second opinion or get contact details on www.lybrate.com/arjunkumarsingh. Stay anywhere in india, get honest and unbiased advice from us.


 

Regards

Dr Arjun Kumar Singh, Patna

Email- drarjun53@gmail. Com

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how to reduce diabetic eye pressure

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
how to reduce diabetic eye pressure
Diabetes causes vascular damage throughout the body. Because the blood vessels within the eye are so tiny, any damage at all can have a tremendous impact on eye health.

One of the most prevalent of the diabetes-related eye diseases is glaucoma. In fact, people with diabetes are between 40% and 50% more likely to develop glaucoma than non-diabetics.

Glaucoma causes the pressure within the eye to increase gradually, damaging the optic nerve and leading to partial or complete vision loss. The exact mechanisms for this are unknown. While there are several types of glaucoma, the most common form is open-angle glaucoma.
Open-angle glaucoma

The eye is full of fluid which continually refreshes. Normally, fluid drains at a point in the eye where the iris and the cornea meet. If this opening becomes even partially blocked the fluid drains out of the eye too slowly, even as new fluid is added. This backup of fluid causes an increase in pressure within the eye, damaging the optic nerve.

Open-angle glaucoma does not cause any symptoms until the disease is well-advanced. By that time, vision is impacted, with loss of peripheral vision first, advancing to tunnel vision and then total vision loss as the disease progresses.
Treatment

The goal of treatment is to lower intraocular pressure. This can be approached one of three ways: lower eye pressure, improve drainage of fluid from the eye or decrease the volume of fluid produced within the eye.

There are a variety of eye drops that may be prescribed.

Prostaglandins (xalatan, lumigan) and cholingeric agents (isopto carbine and isopto carbachol) act to increase outflow of fluid from within the eye.

Beta blockers (betimol, timoptic, betoptic) and carbonic anhydrase inhibitors (trusopt, azopt) reduce the production of fluid within the eye.

Alpha-adrenergic agonists (iopidine, alphagan) both lessen fluid production and increase fluid outflow.

Physicians may prescribe a combination of the above.

Oral medications may also be prescribed, if eye drops alone are not sufficient. These are usually in the form of a carbonic anhydrase inhibitor.

If medications are not sufficient to halt progression of the disease, then surgery might be necessary.

Drainage implants might be inserted within the eyes to facilitate drainage.

Laser surgery, known as laser trabeculoplasty, can be done to open clogged drainage canals.

Filtering surgery, known as trabeculectomy, removes a small piece of tissue from the location of the drainage canals, widening the opening and improving drainage.

The best possible treatment for glaucoma is prevention. Everyone above 40 years of age should have an eye exam at least every three years. Diabetics should have a dilated examination of their eyes annually.

Well-controlled blood sugar level are another preventive measure that will lessen the odds of developing glaucoma.
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My father has an eye operation on Tuesday 1 September. What should be the sugar level and blood pressure level? Please advise.

MS - Ophthalmology
Ophthalmologist,
My father has an eye operation on Tuesday 1 September. What should be the sugar level and blood pressure level? Pleas...
Ideally if your father is not diabetic, then his fasting blood sugar should be below 110mg% & ppbs- below 140mg%, but if he is diabetic then such tight sugar control is not adviced as the pt. May go into hypoglycemia hence it can be upto 120mg% - fbs and - 175mg% ppbs. As per the bp level, it should be below 140mmhg systolic & below 90mmhg diastolic.
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As soon as the summer heat breaks in, I start feeling restless and become too tired with no energy. My eyes also start watering and goes through some kind of irritation when I am out in the sun.

FICO-1, DOMS
Ophthalmologist, Delhi
As soon as the summer heat breaks in, I start feeling restless and become too tired with no energy. My eyes also star...
Summer causes evaporation of water from body so take loads of liquid with a balance of salt and sugar. This will not only give you energy but also keep your eye lubricated. You can eash your eyes (after closing from above) with drinking cold water 2-3 times a day. Wear sunglasses when you go out to decrease the exposure. In addition tou can also use some lubricating eye drops. If still no relief then consult.
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What's the age required to do laser for eyes and how much it cost? Please advise.

DOMS, MBBS
Ophthalmologist, Delhi
What's the age required to do laser for eyes and how much it cost? Please advise.
Its done generally after 18- 20 yrs when d refravtory error gets stable. For cost refer to the doctor you choose.
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How can I improve my viewing ability? Is it possible to get rid of specs naturally?

MBBS
General Physician, Mumbai
How can I improve my viewing ability? Is it possible to get rid of specs naturally?
Few tips- I will suggest you to wash your eyes eight hourly and don't over exert your eyes by using mobile at night and keep the brightness of mobile and tv at low concentration and do eye exercise every alternate days and refractive error will not go naturally and so can go for LASIK surgery.
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I am 27 year old male and I have vision issue in my right eye since I was 18 yr old. I have done initial check up with an eye specialist and he suggested me that there won't be any issue in future as my left eye works perfectly. Kindly suggest what should I do?

DOMS, MBBS
Ophthalmologist, Delhi
I am 27 year old male and I have vision issue in my right eye since I was 18 yr old. I have done initial check up wit...
Get your refraction done and wear spectacles eat green veggies. Carrots. Strain less your eyes. Relax your eyes in between work. Blink regularily if working for long time on computer. Lower the brightness of your screen. Work under adequately illuminated conditions. If needed wear corrective spectacles. These r few things you can take care of. Otherwise as such no options available which wd increases your eyesight.
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My eyes are always red and dull. What are the measures I should take to have a clear bright eyes?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
My eyes are always red and dull. What are the measures I should take to have a clear bright eyes?
. Dear lybrate user, red eyes could be because of many reasons but commonly it is due to allergy or infection. You need to visit eye specialist to differentiate between the two as the treatment is different. Also get your eyes checked for any glass power.
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I am 61 years old and today is the third day of conjunctivitis. My vision is slightly affected due to swelling and pain in the eyes. It is not sticky like the last time about thirty years ago?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 61 years old and today is the third day of conjunctivitis. My vision is slightly affected due to swelling and pa...
Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly CINERARIA EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily Wear Zero power eye glasses while on computer work
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Can you please tell me about LASIK surgery. Is it beneficial for me because my eyesight is very poor.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Can you please tell me about LASIK surgery. Is it beneficial for me because my eyesight is very poor.
Hello lasik is very good option to get rid of glasses Doctor will perform few tests (Schirmer test, Pentacam and Fundus examination) and if all tests are normal then you can go for lasik surgery without fear. Success rate of LASIK is over 96%.
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I have red eyes and its paining and evening time it's paining morning time no problem what should I du?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I have red eyes and its paining and evening time it's paining morning time no problem what should I du?
Pain is unusual in eyes..you need to make sure that vision is not affected.. you need to visit eye surgeon to rule out any vision threatening problem
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I have fever from 4 days with red eyes. I have taken some medicine but there is no improvement.

MBBS
General Physician, Faridabad
I have fever from 4 days with red eyes.
I have taken some medicine but there is no improvement.
tab dolo sos when temp. Is high, and get few test done like cbc, complete urine exam. Platelet count, mp slide for malaria Back with report. Thank you
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My son is 2 years 3 months old & frequently tears comes from his right eye, what might be the reason for this, kindly diagnose.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
My son is 2 years 3 months old & frequently tears comes from his right eye, what might be the reason for this, kindly...
could be common conjunctivitis.. but as the child is small its mandatory that you show the child to eye surgeon or atleast the paediatrician
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Hiii. Good evening mera aankhaa maasa pani aarra hai jab mai moo saa haava chod ta hoo taab mera aankhaa ma panii aata haiii. Aaur merku susti bhout aate haiii.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), modern diagnostics
Ayurveda,
Hiii. Good evening mera aankhaa maasa pani aarra hai jab mai moo saa haava chod ta hoo taab mera aankhaa ma panii aat...
It's a nerve related problem which can only be bit controlled with ayurveda therapies and medications. When you open your mouth nerves connected to eyes also get activated. And tears produced.
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I have red eye from last 3 or 4 days. What should I do for it? And what may be reason for it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have red eye from last 3 or 4 days. What should I do for it? And what may be reason for it.
Eyes appear red because the vessels at the surface of the white portion of the eye (sclera) become swollen. Vessels may swell due to: • Eye dryness • Too much sun exposure • Dust or other particles in the eye • Allergies • Infection • Injury Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly CINERARIA /EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily Wear Goggles in Sunlight/Polluted areas.
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I have poor eyesight and I don't want to wear spectacles. Could you please tell me is there any medication by which I can improve my eyesight?

MS - Ophthalmology, Fellowship of the Royal College of Surgeons (FRCS)
Ophthalmologist, Delhi
I have poor eyesight and I don't want to wear spectacles. Could you please tell me is there any medication by which I...
No medicine available, number usually stabilises after 18 years of age, till then get urself checked on a 6 monthly basis. Also please get your retina checked up. Once number stable you can get lasik done for removal of glasses if you want.
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I have red eyes from six days. I am the accountant of a company. I worked on pc about 8 hours daily. Please help me. What should I do.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I have red eyes from six days. I am the accountant of a company. I worked on pc about 8 hours daily. Please help me. ...
You might be having computer vision syndrome instructions for computer use: take frequent breaks while you are working every 20-25 mins take break to look away from screen blink more frequently' level of screen should be below the level of eyes ac should not blow directly on your face. Also get your eyes checked for any spectacle power.
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