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I have been using spectacle from past 20 years for long sight. I want to go for lasik treatment. Can you suggest me good hospitals? And also tell me is there any side effects if I go for lasik?
I am using glasses of approx -3 but it was 2009 when I first used a glasses of. 5 and after that it is increasing continuously! I am little worry because right now I fell that it has been increased even more than - 3 because it has been almost a year to consulting a doctor. Give please suggest me?
Variety of contact lenses is used to correct refractive errors. Soft Contact (hydrogel) Lenses are most often used in various types of refractive errors but they have certain disadvantages. These lenses do not permit adequate Oxygen to pass through which is essential for health of cornea and hence they can be worn for limited hours, i.e 6 to 8 hours maximum and never while sleeping. The tear proteins get deposited on these lenses which limit their life to about a year. If worn for prolonged period or proper measures not taken to clean the lenses, cornea can get an ULCER which at times can result in permanent loss of vision. Disposable daily wear lenses provide safer alternative but the cost increases significantly. Since soft contact lenses are applied after cleaning with a solution which can be the cause of mild to severe allergic conjunctivitis which can become intolerable. Soft contact lenses are not ideal in eyes with high corneal astigmatism.
Merits of soft contact lenses are that they can be dispensed over the counter or purchased on line though it is not ideal. A correct curvature and power of a contact lens is determined by a contact lens specialist/ Ophthalmologist after measuring exact corneal curvature and using trial contact lens. Another merit is that these lenses can be accepted very easily since even on the first day they do not produce much of discomfort. These lenses can be worn off and on without any inconvenience. Recent introduction of Toric Contact Lenses have made them more acceptable in cases of moderate corneal astigmatism.
Breathing Contact Lenses:
These lenses are the one which permit significant amount of oxygen to pass through and hence can be worn for prolonged interval without any adverse effect on the cornea. These are of two types
- Semisoft or Extended Wear RGP Contact Lenses: These lenses are made up of FP 92 which is a semi rigid soft plastic and is highly permeable to oxygen. These lenses are excellent for high refractive errors, especially in patients who have high corneal astigmatism. Even cases with irregular cornea or Keratoconus, these lenses can be accepted with rewarding results. These lenses can only be fitted by an expert Ophthalmologist since precise measurement has to be carried out and various trial lenses have to be tried to evaluate the optimum fit. The lenses are made to measurement and the patient has to be precisely trained to fit the lenses and maintain them. As stated, the lenses can be safely worn while sleeping and there is practically no danger of corneal toxicity or infection. These lenses may last for 4-5 years. One of the demerits of these lenses is that they take 5-6 days to adopt and the patient is advised to use them regularly. They are excellent alternative to LASIK surgery.
- Silicon Hydrogel Contact Lenses: These are recent introduction of extended wear contact lenses with capacity to 'breathe' better than soft or hrdrogel contact lenses. Some of the recent Silicon Hydrogel Contact lenses introduced by Alcon and Bausch and Lomb can be worn for a week or so.
Silicon hydrogel lenses though indicated for prolonged wear but can cause mild keratitis and sometimes allergic keratitis if worn overnight. These lenses still needs lot of improvement to be free of complications
Advise: It is ideal to consult an Ophthalmologist specialized in contact lenses for fitting of a proper contact lenses. Advertised lenses some time misguide and can be damaging to the eye.
Cataract usually affects people who are above 40. It is a blurring of the eye’s lens, which lies at the back of pupil and iris. It is the most usual cause behind the loss of vision for people above 40. Research also states that it is a major cause of blindness in the world.
Types of cataracts:
- Subcapsular cataract: People who are diabetic and those are taking high steroids are more prone to subcapsular cataract. In this type, the cataract develops at the back of the lens.
- Nuclear cataract: A nuclear cataract is related to aging. It usually affects the central portion of the lens of the eye.
- Cortical cataract: It is a white opacity, which begins from the periphery of the lens and spreads up to the center of the lens in a spot-like manner. It usually affects the cortex of the lens.
- In the beginning, cataract affects a small portion of your eye and affects your vision.
- Your vision gradually gets blurred.
- Too much exposure to the light might cause glare.
- In nuclear cataract, you may notice a short-lived improvement of your near vision.
- In subcapsular cataract, you cannot notice any symptoms in the initial days.
Cause of cataract:
The lens inside our eyes acts like a camera and it is made of protein and water. The protein helps in keeping the lens clear. But with aging, the protein may start to form a lump, which causes cloudiness in the eye area. With time the cataract spreads all over the lens and creates more cloudiness, which ultimately leads to blindness. The factors which usually trigger cataract are
- UV rays from sunlight
- Consumption of high dosage steroids medicines
- Statin medicines
- History of eye inflammation or any eye injury
- History of eye surgery
- Too much consumption of alcohol
- Hormone replacement therapy
- Family history of cataract
Prevention of cataract:
It cannot be guaranteed whether cataract can be prevented or not. A study shows that cataract is caused due to the oxidative changes in the lens of the eye. Nutrition studies have shown that consuming vegetables and fruits, which are high in antioxidants, may help in preventing cataract. Dietary intake of vitamin E, carotenoids lutein, and zeaxanthin from supplements and food items can decrease the risk of developing a cataract. Sunflower seeds, spinach and almonds are good sources of vitamin E. Kale, spinach, other leafy green veggies are the good sources of zeaxanthin and lutein. Food items that contain Omega-3 fatty acids and vitamin C decrease the chances of cataract.
Last, but not the least, when you step out, always wear a sunglasses, which has the ability to block UV rays. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.