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Eye Disorders Tips

Central Serous Retinopathy - What Should You Know?

Gnh Excel Medical Centre 87% (290ratings)
Dermatologist, Delhi
Central Serous Retinopathy - What Should You Know?

The eye is a complex organ. It is made up of a number of different parts which together build a sense of image. Retina is a very significant part of the eye. It is this part of the eye that helps it project the image. The object image is ultimately created on this part of the eye. But it is also a very sensitive and delicate organ. There are many abnormalities that may affect the retina. Central Serous Retinopathy is one such abnormality.

This medical condition of the eye is precipitated when there is a buildup of fluid behind the retina. This leads to the detachment of the retina. The patient may experience gradual or even sudden loss of vision as the central retina gets detached.

The Retina and its Structure

The retina is a very important part of the eyes. It is a membranous structure where vision takes shape and is composed of several layers. It contains special photoreceptor cells that help in identifying color, vision, etc. There are different cells that help in central as well as peripheral vision. The central region of the retina is also known as macula. Retinal Detachment is a disorder of retina that can turn people blind or low in vision. Medical intervention is necessary to regain lost vision.

Symptoms of Central Serous Retinopathy

Patients need to be aware of the symptoms lest they should be caught completely unaware of it.

  1. Objects may appear farther away than usual.

  2. White portions of images may appear dull and lines may appear crooked.

  3. Patients may experience blurry vision in the initial stages.

However, it does not always a precipitate symptom. If fluid buildup is not affecting the central vision area, the patient may not experience any deterioration in central vision. This is a perception that the central part is responsible for the central vision. He or she may experience a clear central vision, although there is a fluid buildup. Nevertheless, it may eventually push the central part and detach the retina resulting in Central Serous Retinopathy. Patients may experience a darkening or blurring of their central vision. This is usually limited to one eye. However, one may experience such problems in both eyes at different stages of life.

Risk factors

Though the contributory factors are not well known, it is thought that stressful lifestyles and some medicines can contribute to such ailments.

Treatment

Treatment may not always be required in all cases. Doctors may just ensure that built-up fluid is draining out. However, if fluid is not draining out, medical intervention is necessary doctors may go for treatments like photodynamic therapy, thermal laser treatment, or medications. Doctors may also recommend stopping steroids and bringing in lifestyle changes.

Conclusion:

People who notice any changes in their vision or experience pain or blurry vision should consult an Ophthalmologist as soon as possible. If a person is already suffering from any eye disease and experiences such symptoms, he/she should immediately seek medical attention without waiting for his/her next appointment.

In some cases, the fluid dissolves itself with no further medical treatment. However, if it does not, a variety of medicines and medical treatments are available.

4840 people found this helpful

Coats' Disease - How To Detect It?

DNB Ophthalmology, MD - Ophthalmology, MBBS
Ophthalmologist, Mumbai
Coats' Disease - How To Detect It?

It is an eye disorder in which the retina is affected by abnormal growth of the blood vessels. Most of the time only one eye is affected. This is not an inherited disease and the principle causes are still unknown. Although in some cases, it has been speculated that some acquired somatic alterations in the NDP gene (Norrie disease (pseudoglioma)) causes Coats’ disease. The treatment depends upon the symptoms and the intensity of the disease.

There are many symptoms which can be seen in the early stages of life, but these symptoms can get worse with the progress of the disease. Symptoms may vary from person to person, but some of the common symptoms are loss of vision, strabismus, or crossed eyes and a white bulk in the pupil beyond the eye lens. With the progress of the disease, it can lead to retinal detachment, blindness, and clouding of the lens. This disease is not inherited and is caused by some genetic alterations. These symptoms can affect the daily life of the sufferer.

Causes:

The causes of the Coats’ disease are still unknown, but it has been hypothesized that the alterations in the NDP gene lead to this kind of disease. However, it is still not proven. It is reported that the Coats’ disease is a single feature of many genetic disorders. When this problem occurs with further deformities that damage the other body parts like the brain, intestine, abdomen, etc., it is referred to as Coats Plus Syndrome which is the result of alterations in the CTC1 gene.

Diagnosis:

The diagnosis of the disease is mostly done on the basis of symptoms and signs and outcome of the comprehensive eye examination. There are many tests available to confirm the diagnosis including diagnostic echography, retinal fluorescein angiography, and also sometimes include a CT scan or MRI of the orbit.

In some cases, there are a fewer or no symptoms, but they can be diagnosed in the early stages as in most cases, the symptoms are typically visible at an early stage but the disorder needs some time to occur.

Treatment:

The treatment of the Coats’ disease depends upon the intensity of the disease which varies from individual to individual. The treatment available can be used individually or in combinations.

  1. Shrink or terminate blood vessels through laser treatment or laser photocoagulation

  2. Using Cryotherapy as a procedure to destroy the affected blood vessels through extreme cold.

  3. Injections are used to control inflammation.

  4. Surgeries to fix the retinal detachment and drainage of fluids from the eyes.

The prognosis of the disease varies and depends upon the severity of it, intensity of its progression, and the potency of the treatment. People with intensified disease do not find any benefit from the above treatments, but most patients rejoin well with the treatment. Only the worst cases require the removal of the eye, but it is an ophthalmologist who will be able to confirm the severity of the disease and the benefits of the treatment.

Take Away:

Coats’ disease is an eye disorder caused by some genetic alterations. The severity of the disease can also lead to the removal of the eye, but early diagnosis and fair treatment can solve the problem. One should make sure to confirm his/her Ophthalmologist about their symptoms before leaping to the conclusion.

3005 people found this helpful

Glasses - Know Signs That You Require It!

Dr.Bhavesh Makkar 91% (104ratings)
DNB Ophtalmology, MBBS Bachelor of Medicine and Bachelor of Surgery, Senior resident
Ophthalmologist, Varanasi
Glasses - Know Signs That You Require It!

The ability to see is one of our greatest powers and it needs to be valued and looked after. Sometimes this involves wearing glasses to improve our vision. Spectacles not only help us see better but also prevent straining and further deterioration of the eye muscles. Here are a few signs to watch out for that will indicate your need for spectacles. Keep in mind however that a comprehensive eye exam is the only way to determine the power required for your spectacles. 

-  Blurred vision
Blurred vision or the inability to focus on something in the distance is one of the first signs of eye deterioration. When it comes to children, watch out for complaints of inability to read the writing on class blackboards.

- Frequent headaches
Unexplained headaches that come and go could be a sign that you need glasses. These headaches can usually be felt at the end of a long day or after watching television. 

- Constant squinting
Squinting is a natural way to improve vision. This is because the act of squinting reduces extra light and light scattering thus allowing us to see something clearer. Thus, if you notice yourself squinting more than usual it is time to schedule an eye exam.

- Difficulty working on a computer
Struggling to read figures and words on a computer screen is usually a sign of poor vision. Try adjusting your screen angle and the distance of the screen from your eyes to see if your vision improves or worsens. 

- Difficulty adjusting to lights
Sudden increased sensitivity to lights can be a sign of many eye disorders with vision problems being the most common. 

- Eye strain
Occasional pain in the eyes after a long day or as a result of an allergic reaction is nothing to worry about. However, if this pain persists for a few days, it could be an indication that you need spectacles. 

Deterioration of vision is usually a very gradual process and so you may not realize when it begins. However, the earlier you start wearing corrective glasses to improve your vision the easier it will be to control the deterioration of the eye muscles and you may even be able to rectify your condition completely. So, do not ignore any of these warning signs. Even if you do not have any of these symptoms, it is a good idea to get a thorough eye examination at least once a year.

1279 people found this helpful

Foot & Eye Care - How To Ensure It In Diabetes?

Dr.Rajiva Gupta 97% (4746ratings)
MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Gurgaon
Foot & Eye Care - How To Ensure It In Diabetes?

Diabetes can wreak havoc on the eye and the foot. Proper care is necessary in order to refrain from any serious consequences. It can damage the blood vessels and the nerves of the feet resulting in numbness and permanent disability. Some of the alarming foot symptoms include bruises, cuts, cracked skin and hard spots. Some of the common measures that need to be taken for foot include checking the temperature sensation of the foot by immersing it in hot water, drying the feet gently in between the toes and using agents such as lotion, lanolin, and petroleum jelly.

Some of the other preventive measure includes-

  1. Cutting the nails when they are young and straight to ensure no injury to the foot takes place. It should be ensured the toe is not touched by the nail of the toe. A pumice stone can be used to get rid of the corns immediately after a bath. No medicated pads or sharp razors should be utilised to cut corns. The feet should be soaked in warm water before trimming nails.
  2. A shoe should be put on at all times to save the feet. The shoe sole should be thoroughly checked for foreign objects such as stones and nails to ensure that the foot is not hurt. Tight shoes should be strictly avoided in order to refrain from soreness and blisters. Dry and clean socks should be put up to ensure the foot is clean. For people living in cold area, wearing thick socks should be practised. This will help the foot protect from cold. Finally, a doctor should be called in case there are any visible signs of swelling, redness, cracks, pain or sensation of burning.
  3. Too much blood sugar can cause harm to the eye in four ways: It can cause damage to the retina, lens, optic nerve and vitreous gel. There could be serious repercussions of diabetes to the eye including low vision and complete loss of vision. Diabetes blocks the retina and is capable of cutting off the total supply of oxygen.

Some of the common symptoms of retina related problems include double vision, pressure in one eye, problems in corner vision, flashing lights, pain in the eye, blank spots etc. A simple check-up by an oculist can reveal any eye problems related to diabetes.

An ophthalmologist can treat the diabetes-related eye problem by medicine that blocks the protein responsible for fluid leakage and blood vessel growth. He can also go for laser treatment to treat macular edema. Even scatter laser treatments are also used for this purpose. If all else fails a doctor chooses to perform a procedure known as vitrectomy.

1604 people found this helpful

Eye Sight - Correct It With Ayurveda!

Dr.Tanmaya Acharya 90% (73ratings)
MD - Ayurveda, BAMS, Post Graduate Diploma in Nutrition and Dietetics
Ayurvedic Doctor, Bangalore
Eye Sight - Correct It With Ayurveda!

In Ayurveda, the term ‘drishti dosha’ has been used to refer to eye sight issues. Ayurveda has identified and also explained a number of eye sight disorders. It has identified the causes, symptoms and different kinds of treatment for these eye disorders.

Causes of frail eyesight:
Weak eyesight is a common problem faced by people nowadays. Its major causes are-

  1. Increased pollution in our surroundings leads to accumulation of dust within the eyes. This is a major cause of eye-related disorders.
  2. Excessive use of computers, laptops and smart phones stresses the eyes which are very sensitive organs.
  3. An unhealthy lifestyle including over consumption of junk food, lack of sleep, irregular sleeping hours, mental disturbance and constant exposure to bright light weaken the eyes.

Symptoms:
Though the symptoms of eye-related problems vary from one type of disorder to another, there are certain common symptoms which include-

  1. Redness and watering of the eye
  2. Blurred vision
  3. Itching and burning of eyes
  4. Pain and swelling in or around the eye area
  5. Excessive blinking of the eyes

How Ayurveda Can Help?

Ayurveda has several remedies which one can use to correct eyesight. These remedies are easy to follow and include simple tasks one can undertake on a daily basis. These include-

Indian gooseberry or amla is known to contain high amount of Vitamin C, anti-oxidants and other nutrients to improve sight. The vitamin C contained in this fruit improves function of the retina. One can consume 2-5 teaspoons of amla juice with some warm water in the morning and evening to improve vision. One can also consume the juice of this fruit with honey to improve the quality of vision.

Ayurveda provides several natural solutions to treat eye-related issues. One can practice these simple natural home remedies to improve vision.

Ayurvedic therapies

The ayurvedic therapies to treat it include:

Tarpana and Aschotana are the ayurvedic therapies which are very beneficial in computer vision syndrome, dry eye syndrome and vision problems like short and long sightedness.

2694 people found this helpful

Retinopathy Of Prematurity - Importance Of Eye Screening In Preterm Babies!

Dr.Aditi Manudhane 94% (47ratings)
MBBS, MS - Ophthalmology, DNB (Ophthalmology), FICO (London), FAICO -Refractive Surgery
Ophthalmologist, Gurgaon
Retinopathy Of Prematurity - Importance Of Eye Screening In Preterm Babies!

Retinopathy of Prematurity refers to a disease of the eye, seen in premature babies. The condition causes blood vessels in the eye to grow abnormally and eventually bleed or leak, leading to scarring of the retina. As the scar starts to shrink, it pulls on the retina, detaching it from the back of the eye. Since the retina is an essential part of the visual apparatus, its detachment can potentially lead to blindness.

ROP may also lead to other complications such as –

Nearsightedness
Farsightedness
Lazy eye
• Crossed eyes
Glaucoma

Who are at risk?

The smaller and more premature the baby, the more it is at risk of developing Retinopathy of Prematurity.

• Infants with a gestational age of 30 weeks or less
• Infants weighing 3.3 pounds (1500gms) or less
This is because a premature delivery often disrupts the normal growth of blood vessels in the eye.

Why get screened for ROP?

Retinopathy of Prematurity does not exhibit noticeable signs or symptoms in infants. The only way to detect the condition is to undergo an eye examination.
The screening test will take place either at your baby’s bedside or at the clinic of your ophthalmologist. The following steps are involved in the screening exam –

• The doctor will apply dilating eye drops to dilate the pupil. This will allow the doctor to monitor the condition of the eye closely
• An eyelid speculum will help to hold the eyelids open
• The doctor will check the retina using a sclera depressor, which allows the eye to move in all positions
• Next, the doctor will direct a bright light into the eye using an ophthalmoscope to examine the retina.

In India, about, 1 in 1000 children is blind, in 24% to 47% of the cases, the reason is Retinopathy of Prematurity. 

How often your baby needs screening for ROP depends on the status of the retina. Screening tests are typically done every 1-2 weeks until the condition is stabilized or cured. However, if the problem persists, the doctor may recommend screening every 4-6 weeks to make sure ROP does not deteriorate.

Treatment

All babies born prematurely should receive regular monitoring and testing, starting from a month after birth. Treatment for ROP will depend on the severity of the condition. Talk to an eye specialist and discuss options to prevent the disease from progressing further.

2929 people found this helpful

Eye Donation Facts - Prevent Blindness!

Dr.Bhavesh Makkar 91% (104ratings)
DNB Ophtalmology, MBBS Bachelor of Medicine and Bachelor of Surgery, Senior resident
Ophthalmologist, Varanasi
Eye Donation Facts - Prevent Blindness!

If you’ve ever played Blind Man’s Buff you know how helpless it can feel to be unable to see. While some people are born blind, others lose sight as a result of health issues, accidents etc. Imagine how a person would feel to be able to see something for the first time or to regain their sight?

Every human being with sight can choose to donate their eyes after their death and gift another person vision. When it comes to eye donation, there is no restriction on the person’s age or overall health. Even a person who has had surgery on their eyes can choose to donate them as long as the cornea is unaffected. It is not only noble but the thought of being able to give some a chance to see the world with your eyes can give you immense joy.

However, just a thought is not enough, there are few other facts to be kept in mind before going for eye donation:

  1. Eyes need to be donated within 6 hours of a person’s death: For your eyes to be viable for a donation they must be harvested within 6 hours of death. Thus, if you choose to be a donor, it is important for you to inform your family and friends of this decision. Eye donation can also be authorized by the deceased’s next of kin.
  2. Donation does not cost money: There are no costs involved in donating your eyes. Profiting by buying and selling human organs and tissues is a criminal act and can be punishable by law.
  3. The whole eye is not transplanted: The most common cause of blindness is a damaged or diseased cornea. Thus, only this area is transplanted to enable a person to see. The cornea is a thin, transparent flap located in front of the colored part of the eye. Thus, donating eyes does not disfigure the deceased person in any way.
  4. Even people who wear spectacles can donate their eyes: Short-sightedness or far sightedness are conditions caused by irregularities with the lens inside the eye and do not affect the cornea. Thus these conditions do not interfere with their ability to donate their eyes after death. Even people who have been operated upon for cataracts, retinal detachments or glaucoma may choose to donate their eyes. It is even possible for a person who has received a corneal transplant to donate their eyes as long as the cornea is healthy and clear.
  5. Corneal Transplants have a high success rate: There is no blood supply to the cornea and hence there is a very low risk of the body rejecting a donor cornea. In many cases, this rejection can be treated and suppressed with medication.

Though over 30,000 corneas are donated and transplanted each year, there is still a long waiting list at eye banks. Thus, it time you take a pledge to make someone else's life beautiful. Do not think twice about donating your eyes and encourage people around you to do so as well.

1433 people found this helpful

Coats' Disease - What Should You Know About It?

Fellowship in Retina (FMRF)
Ophthalmologist, Nashik
Coats' Disease - What Should You Know About It?

It is an eye disorder in which the retina is affected by abnormal growth of the blood vessels. Most of the time only one eye is affected. This is not an inherited disease and the principle causes are still unknown. Although in some cases, it has been speculated that some acquired somatic alterations in the NDP gene (Norrie disease (pseudoglioma)) causes Coats’ disease. The treatment depends upon the symptoms and the intensity of the disease.

There are many symptoms which can be seen in the early stages of life, but these symptoms can get worse with the progress of the disease. Symptoms may vary from person to person, but some of the common symptoms are loss of vision, strabismus, or crossed eyes and a white bulk in the pupil beyond the eye lens. With the progress of the disease, it can lead to retinal detachment, blindness, and clouding of the lens. This disease is not inherited and is caused by some genetic alterations. These symptoms can affect the daily life of the sufferer.

Causes:

The causes of the Coats’ disease are still unknown, but it has been hypothesized that the alterations in the NDP gene lead to this kind of disease. However, it is still not proven. It is reported that the Coats’ disease is a single feature of many genetic disorders. When this problem occurs with further deformities that damage the other body parts like the brain, intestine, abdomen, etc., it is referred to as Coats Plus Syndrome which is the result of alterations in the CTC1 gene.

Diagnosis:

The diagnosis of the disease is mostly done on the basis of symptoms and signs and outcome of the comprehensive eye examination. There are many tests available to confirm diagnosis including diagnostic echography, retinal fluorescein angiography, and also sometimes include a CT scan or MRI of the orbit.

In some cases, there are a fewer or no symptoms, but they can be diagnosed in the early stages as in most cases, the symptoms are typically visible at an early stage but the disorder needs some time to occur.

Treatment:

The treatment of the Coats’ disease depends upon the intensity of the disease which varies from individual to individual. The treatment available can be used individually or in combinations.

  1. Shrink or terminate blood vessels through a laser treatment or laser photocoagulation

  2. Using Cryotherapy as a procedure to destroy the affected blood vessels through extreme cold.

  3. Injections are used to control inflammation.

  4. Surgeries to fix the retinal detachment and drainage of fluids from the eyes.

The prognosis of the disease varies and depends upon the severity of it, intensity of its progression, and the potency of the treatment. People with intensified disease do not find any benefit from the above treatments, but most patients rejoin well with the treatment. Only the worst cases require the removal of the eye, but it is an ophthalmologist who will be able to confirm the severity of the disease and the benefits of the treatment.

Take Away:

Coats’ disease is an eye disorder caused by some genetic alterations. The severity of the disease can also lead to the removal of the eye, but early diagnosis and fair treatment can solve the problem. One should make sure to confirm his/her Ophthalmologist about their symptoms before leaping to the conclusion.

2323 people found this helpful

Eyesight - Why Is It Important To Take Care Of It From Childhood to Older Age?

Dr.Pravin Kumar Singh 86% (22ratings)
Kolkata University
Ophthalmologist, Kolkata
Eyesight - Why Is It Important To Take Care Of It From Childhood to Older Age?

Your eyes are responsible for presenting the world to you, right from the time you wake up until the time you go to bed. In fact, your eyes deliver 80% of the information you take in each day. Therefore, it is important that you keep them safe and healthy.

However, most vision problems develop from early childhood, usually between the age of 2.5 years and 4 years. The most common ones are-

• A wandering eye/crossed eye - Misalignment of the eyes
Farsightedness - Nearby objects appear blurry
• Nearsightedness/Myopia - Faraway objects appear blurry
Astigmatism - An imperfection in the curvature of the eye

Quite a few vision problems emerge as you age. These common eye conditions may significantly affect your eyes and eyesight once you near the age of 60 -

Age-related Macular Degeneration or AMD - Loss of vision
Glaucoma - The connecting nerve from the eye to the brain is damaged (can lead to blindness)
Diabetic retinopathy - A diabetic complication affecting the eyes

In the year 2002, over 161 million people across the world were reported visually impaired. 124 million people out of these 161 million had poor vision, while 37 million people were blind. Considering these shocking figures, it has become crucial to spread awareness and inform the readers about the importance of vision screenings regularly.

Since February is the Low Vision Awareness Month, we are here to talk about low or poor vision- what it means, how to detect and correct the problem early in life.

What is Low or Poor Vision?

‘Low vision’ or poor vision refers to a significant visual impairment that cannot be rectified with medicine, standard glasses, eye surgery, or contact lenses. People with visual acuity ranging between 20/200 and 70/200 or 6/18 and 6/60 in the better eye, are said to have poor vision.

A number of factors can cause low vision, such as an eye injury, an infection or a disease. Sometimes, the cause can also be hereditary.

Warning signs:

The following can be a warning sign that something might be seriously wrong with your vision-

  1. Constant itchiness in the eye
  2. Extreme sensitivity to light
  3. Poor focusing and visual tracking
  4. Abnormal movement/alignment of the eyes
  5. Discolouration of the pupil
  6. Chronic redness
  7. Difficulty reading
  8. Squinting
  9. Blurred vision

Why early detection is important?

If you encounter the above signs or observe the same in your loved ones, then immediately consult an eye specialist. Detecting the problem early can help restore some of your vision, if not cure the problem.
Just as overall health check-up is required, annual eye check-ups are also important for people, especially in the old age. Comprehensive dilated eye exams and screening tests are recommended. You should ideally have yourself checked once every year. People with macular degeneration, glaucoma, or a family history of eye disorders may require frequent visits and regular monitoring.

Discuss your/your child’s overall condition with an eye specialist and ensure that you follow up for eye check-ups to the clinic every 6 months.

1959 people found this helpful

Eye Checkup - Why It Is Vital?

MBBS, MS - Ophthalmology, DNB - Ophthalmology, ICO
Ophthalmologist, Mumbai
Eye Checkup - Why It Is Vital?

Before you go through this, just close your eyes for a few seconds and ponder how your life would be if you are unable to see? Pathetic isn’t it? Eyes are one of the greatest gifts from the almighty, and it is your sole responsibility to protect them and keep in optimal health so that you too can keep on enjoying the beauty of nature.

Sometimes people are too lazy to go for an eye checkup when there is absolutely no vision problem and in other cases, people just don’t feel it is important to go for an eye checkup once in a year. However, routine eye exams are crucial for every person regardless of the age, gender, origin or habits. It is not just for individuals with poor eyesight but for everyone with or without eye problems. Here are the top reasons why you must be paying a visit to an ophthalmologist.

  1. Getting the prescription updated: You may think that your eyes are fine and there is nothing reasonable in visiting an ophthalmologist. But it is a general human tendency to neglect things until it is so late that nothing can be recovered. And your eyesight and eye health is no child’s play- it is vital in directing the quality of your life. The skilled ophthalmologist can monitor the condition of your eyes and follow up the changes that have taken place over time. Your eyes and their features are unique, and thus it becomes easier for the expert to detect what’s been altered in them.
  2. Seeing to the best of your abilities: People with corrective lenses often experience the need for tracking the periodic changes that have already taken place. Your eyes alter their shape and condition with time. Thus, keeping your prescription updated offers a subtle yet crucial advantage that you may not have considered before. Some of them are even concerned with your safety such as your ability to see while you drive at night.
  3. Eye diseases can be secretive: Sometimes, vision issues can come in quickly but often eye disorders tend to creep up that most individuals are not able to see. The deterioration can be so subtle and slow that you are unable to detect anything until it has progressed to a great extent. Eye diseases such as diabetic retinopathy and glaucoma typically have no symptoms, which can be detected at an early age.

And it goes without saying that vision loss cannot be reversed. But in case you visit your ophthalmologist regularly from an early age, vision loss can be prevented or at least slowed down.
 

3760 people found this helpful
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