Pages / ophthalmology

1. Consultation

a) How do I fix an appointment at Apex Eye clinic and what information should I provide.

You can fix an appointment by calling on 020-65006768 or on 9011494300. Provide the name of the patient, age and primary problem.

b) Till when I can book appointment for Sunday?

You can call on the above number till Saturday 8 pm & book an appointment for Sunday morning.

c) What I need to carry while going for the consultation.

You should carry your previous glass prescription card if available or previous/old Spectacle or any contact lenses. Any blood reports you have done recently and medicine prescription or medicine if you are taking for some problem or any other health problem. We require these details because it may have relation with your persisting problem & it will guide us to treat you in a better way and also to avoid your unnecessary frequent visits.

d) If I am a contact lens user.

You should not be wearing the contact lenses for at least 24 hrs before consultation if you have made an appointment. And also carry your contact lenses along with your kit at the time of appointment to know the status of your contact lenses. If it’s an emergency consultation, you should carry your old glass/contact lens kit at least.

e) How much time do I need for consultation?

You need at least 15 minutes to maximum 45-60 minutes if you need dilated retinal examination.

2. For Children’s (Below 14 years of age)

a) At what age should children have their first eye examination?

It is recommended that children should undergo their first eye examination by the age of 3 years. But if parent notices any difficulty or any problem in children, they should consult as early as possible to rule out the disorder and treat the eye problem at earliest stage to avoid further complications.

b) What type of eye examination done in children?

The vision is checked by using special method and also dilated retinal examination and is mandatory in children below 14 years of age by putting dilating drops or ointments as per required according to age of kid.

c) My child sits very close to T.V or hold book very close to face while reading. Is it harmful?

No, it is not harmful, only it will induce eye strain. But it indicates your child is having vision problem, so please consult ophthalmologist.

d) What is lazy eye?

Medical term is Amblyopia, is the eye condition noted by reduced vision, not correctable by glasses or contact lenses and it is not due to any eye disease. Treatment is possible at early stage i.e. developmental stage of life i.e. below 15 years of age or as early as possible.

3. Contact lenses and LASIK

a) When can a person use contact lenses or go for LASIK surgery?

Once age is more than 18 years and spectacle number is constant over last 1 year, after that, you can think regarding LASIK surgery proving your Cornea and retina is normal. For contact lens, it is advisable, use after age of 15-16 years, as person becomes mature enough to take care of contact lenses and handle it properly.

b) Which type of lenses is good?

All types of contact lenses are good. But it is made for different situations. So Doctor can decide which type of contact lenses is best for your eyes after proper eye examination to give best results.

c) Comparatively which one is good contact lens or LASIK?

Both have their own advantages and disadvantages or limitations. ophthalmologist will decide which option is better for your eyes after examination.

4. Cataract

a) What is Cataract?

When your natural lens becomes cloudy or opaque it is called Cataract, which makes your vision blurred means you feel like looking through frosted glass. You may also dazzled by bright light. It is due to age related changes occurring in lens. Other than senility, diabetes, certain medications, other long standing eye problems and trauma to eye cause cataract in younger person.

b) What are the treatment options for Cataract?

There are no treatment option for Cataract other than surgery. If your cataract is not removed, your vision may stay the same or it may get worse. In some patient cataract becomes mature and may rapture inside the eye leading to glaucoma which damages your vision of eye very badly.

c) What is exactly done in cataract surgery?

During the surgery, we will remove the opacified natural lens and replace it with artificial lens implants.

d) Do I need repeat surgery or do I need to replace the lens implant in future?

No, once the artificial lens is implanted, it is lifelong. Unfortunately in very few patients we might need to take out this lens implants in whom it not suitable or if any complication happens to eyes, otherwise it is very safe and lifelong.

e) What are the methods of surgery available?

Basically two types a) With stiches b) Without stitches 1. Nonphaco 2. phaco

Surgeon choose the method and surgery depending on the type of cataract, Patient can choose method and surgery depending on the affordability

f) How long does the operation take?

It usually takes up from 8 min to 45 min depending on the type of cataract and 15-30 min before the surgery and after the surgery for anesthesia and dressing purpose respectively.

g) What are complications of the operation?

  • Your eye may be bruised but gradually it will become normal. Your eye may become very red, watering and discomfort which will last usually initial 2-3 days.
  • Your eye pressure may become high which will damage optic nerve and there are chances of losing vision.
  • Your cornea may become cloudy due to surgical treatment but over period of time and with medication it will become normal.
  • You may have swelling on retina which subsides with medicines.
  • Very few people get detachment of retina which cause loss of sight and further surgery is needed. Your eye may become infected which is very dangerous complication where you can lose your eye sight. So better to avoid it by putting medicines regularly and following all postoperative instructions or advised.
  • After few months or years of surgery again you can get hazy vision due to after cataract i.e. posterior capsular opacification. Here the bag of lens get opacified, for which you need laser treatment to get it cleared which is an OPD procedure and very simple, safe procedure.

h) Could anything have been done to stop me developing cataract?

There are no known preventive measures for cataract.

i) How many days do I need admission for surgery?

It is a day care procedure, so you have to wait minimum 2hrs in hospital only.

j) What all precautions do I need to take before surgery?

You need to do few routine blood and urine tests and stay fit. You can work till the prior day of surgery, if you are diabetic or hypertensive, take care that your blood sugar or blood pressure should not get disturbed.

k) How many days I have taken rest after surgery?

Strict bed rest is not necessary, You can do your routine activity from next day after taking precautions for eyes which will explained to you after surgery(written instructions are given).

l) When can see better after surgery?

After your operation you will be able to read or watch T.V. but your vision may be blurred, as your eye is in healing stage. But there is no harm to your eyes by reading or watching T.V, if you are comfortable in doing so.

5. Glaucoma

a) How did I get glaucoma?

It is not caused by work, diet or any other agent or factors. Some groups of people are known to be at more risks

  • 1) Close relative of someone diagnosed with glaucoma.
  • 2) People with hypermetropia.
  • 3) People with diabetes and high blood pressure.
  • 4) People with mal developed eyes-small eyes.
  • 5) People of Chinese and Asian origin.
  • 6) Common after the age of forty & females.

b) How to prevent glaucoma?

No, we can’t prevent it, but regular checkups will enable early detection and treatment.

c) What are the treatment options for glaucoma?

In initial stages you will need eye drops and tablets if required some laser treatments also beneficial for you. Surgical option is chosen when it is in advanced stage or not responding to medicines.

d) Will I get completely cured with the Treatment?

No, Glaucoma is like diabetes, it will not get completely cured, you need to put medicines lifelong and do regular eye checkups and few tests periodically like perimetry, OCT, RNFL analysis. As the disease progresses it will definitely affect your vision which in few percent of people is not reversible by any means.

6. Diabetic Eye Disease

a) What happens to eye in diabetes?

Cataract is most common problem in diabetes. Also retinal blood vessels get affected in diabetes and it causes small bleeding points in retina, abnormal new blood vessels which we call as diabetic retinopathy or diabetic eye disease.

b) Will it affect my vision?

In early stages of retinopathy, there will not be any change in vision but as the disease progression it will definitely affect your vision which in few parent and people is not reversible by any mean.

c) What precautions may I need to take to prevent it?

First important step is have good control on your blood sugar levels and strictly have periodical eye checkups to diagnose it at early stage. So that necessary treatment can be given.

d) What treatment is needed for diabetic retinopathy?

In early stages only observation and strict blood sugar control is needed. In later stages of disease, you need to undergo angiography, laser treatment in multiple sittings, intraocular injections or retinal surgical procedures depending on the progression of disease.