Ojas Eye Hospital in Mumbai Bhandara, Maharashtra

Childhood eye problems are common. Eyes that ‘wander’, vision problems, eye infections, and eye injuries are all common among children. You can help protect your child’s eyesight by watching out for warning signs and taking your child to a doctor at the first sign of a problem. Watch for: Paediatric Opthalmology & Squint Treatment Eyes that cross or one eye that turns in or out or up or down One eye that seems different in some ways such as a larger or smaller pupil Eyes that look crusty, swollen, bloodshot or red-rimmed Any discharge, bleeding or red bumps on the eyelids A pupil that shows a white rather than a red reflection in a colour photograph Child Behaviour Closing one eye or turning or tilting to see things. Squinting to see things in the distance. Consistently holding objects close to the face or sitting very close to the TV (most Children do this sometimes) Frequently blinking or rubbing one eye. Running into objects or falling down at night or in places that are dimly lit.

Retina is like the film in a camera. Retina is the third and inner coat of the eye which is a light-sensitive layer of tissue. When the focused light hits the retina, a picture is created and sent to the brain through the optic nerve (the nerve of the eye), thus giving us vision. Sometimes part of the retina either tears, pulls away or detaches from the back of the eye; when this occurs that part of the retina cannot gather light ans results in vision loss. Diseases and conditions of the retina Age-Related Macular Degeneration Diabetic Retinopathy Retinal tear Retinal Detachment Age-Related Macular Degeneration What causes in AMD? During normal aging, yellowish deposits, called drusen, form under the retina, which is the light-sensitive layer of tissue at the back of the eye that provides clear, sharp images. As drusen increase in size and number, they can interfere with proper functioning of the retina, damaging or killing the light-sensitive cells of the macula. Because the macula’s light-sensitive cells provide the ability to have sharp, detailed vision, the results can be blurring of central vision and a devastating impact on the ability to enjoy activities of daily life, such as reading, driving, or even recognizing the face of a friend or family member. This form of age-related macular degeneration is called dry AMD. Dry AMD can be a precursor to wet AMD. Dry AMD can be a precursor to wet AMD Wet AMD occurs when abnormal blood vessels behind the retina start to grow under the macula. These blood vessels often leak blood and fluid, damaging or killing light-sensitive cells—loss of vision occurs quickly. Although approximately 80 percent of patients with age-related macular degeneration have dry AMD, wet AMD is responsible for 80 to 90 percent of severe loss of vision with this disease.

LASIK or ‘Laser-Assisted In Situ Keratomileusis’ is one of the most trusted laser eye surgeries for the treatment lasikasaof Myopia (near-sightedness), Hyperopia (far-sightedness), and Astigmatism (blurred vision). This laser vision correction technique is performed on the cornea so that light entering the eye can be focused on the retina for clearer vision. LASIK will completely eliminate your dependence on spectacles or contact lenses in a short 15 minute surgery. What Is Custom Lasik? Custom LASIK is a procedure that involves the use of a wavefront analyzer which helps the surgeon to customize the LASIK procedure to every individual eye. Customized procedure enables a person to see clearer and shaper than before and thus improves the quality of vision. Custom LASIK uses an equipment called the wavefront analyzer (aberrometer) to accurately measure the way light travels through the eye.The resulting map of the eye is then programmed into the laser, which then treats the eye, based on the personalized 3Dmap. Custom LASIK helps to treat “higher order” aberrations,which are tiny imperfections in the optical system of the eye. They have a significant impact on the quality of vision especially at night . In fact, higher order aberrations are not treatable with contact lenses, glasses or conventional LASIK.

A condition whereby the lower cornea becomes thinner and the optic surface of the cornea becomes irregular and the vision becomes blurry. Corneal irregularity resulting from Ocular injury, disease, infection or surgery including those who have had corneal transplant surgery, radial keratotomy surgery or those with corneal scarring and irregularities from injury or corneal disease experiencing poor vision from the visual distortions These conditions can be manage with specialized lenses Pellucid marginal degeneration (PMD) Rigid gas permeable contact lenses Rose K contact lenses Piggyback contact lenses Scleral contact lenses Hybrid Contact Lenses

Childhood eye problems are common. Eyes that ‘wander’, vision problems, eye infections, and eye injuries are all common among children. You can help protect your child’s eyesight by watching out for warning signs and taking your child to a doctor at the first sign of a problem. Nonsurgical management of squint Optical management involves : To check refraction and prescribing correct spectacle power . this is to be checked at regular intervals Eye exercises which your ophthalmologist may suggest Treatment for amblyopia may be suggested. Surgical management of squint: Surgical management of squint If other treatments are unsuccessful, surgery may be needed to correct a squint. Surgery can be used to: improve the alignment of the eyes (and therefore their appearance) help the eyes work together Surgery involves moving the muscles attached to the outside of the eye to a new position. It may be necessary to operate on both eyes to balance them, even if the squint is only in one eye. There are six different muscles attached to each eyeball and they tend to work in pairs. During the Strabismus operation it is normal that for a pair of muscles one is weakened and the other strengthened to make the eye straighter. It may be necessary to operate on both eyes to balance them, even if the squint is only in one eye. In some cases adjustable sutures will be used, so that shortly after the operation any minor adjustments can be made to achieve the best possible position of the eye. If a muscle is too strong when you have strabismus, it may cause the eye to turn in, turn out or rotate too high or low. On the other hand, an eye muscle weakness in certain cases may also cause misalignment. This condition may occur if you have a cranial nerve dysfunction affecting how eye muscles control movement.

Glaucoma is a condition where the intra-ocular pressure of the eye is sufficiently high to cause damage to the optic nerve. Blindness from glaucoma is one of the leading causes of blindness, common in adults over the age of forty. It can be prevented if the condition is diagnosed at an early stage. Glaucoma Disease & Treatment Explain By Dr. Niteen Dedhia - Ojas Eye Hospital In Mumbai In a normal eye, a clear transparent fluid called ‘aqueous humor’ is secreted and continuously drained out via microscopic channels inside the eye and then into the blood vessels. If these vessels are blocked due to any reason, the fluid starts accumulating within the eye and pressure starts building up. If this pressure is not controlled, it causes damage to the optic nerve of the eye, leading to blindness. Glaucoma can be broadly divided into two main categories: “open-angle” and “closed-angle” (or “angle closure”) glaucoma. Open-angle chronic glaucoma is the most common type where the loss of vision is gradual and painless. Usually it is detected when patients come to the eye doctor for a routine eye check up. Symptoms Gradual diminution of vision with blurred or foggy vision. Frequent change of eye-glass with no significant improvement in vision. Mild chronic headache, scotomas in peripheral visual field. Coloured halos around lights. Acute / Closed Angle Glaucoma : in certain individuals, the angle from where fluid drains from the eye is genetically narrow. It can be blocked suddenly due to many reasons resulting in sudden increase in eye pressure.

Dry eye syndrome is caused by a chronic lack of sufficient lubrication and moisture on the surface of the eye. Consequences of dry eyes range from subtle but constant eye irritation to significant inflammation and even scarring of the front surface of the eye. Dry eyes are very common, and dry eye syndrome is a major reason for visits to the eye doctor. Symptoms tend to affect both eyes, and can include: Burning and red eyes Feelings of soreness, grittiness or dryness, which get worse as the day goes on Eyelids that are often stuck together when you wake up in a morning Blurred vision, which is better after you’ve blinked Periods of excess tears, which follows a dry spell Heavy eyelids Uncomfortable sensations when wearing your contact lenses Struggling to read or carry out tasks that require extended periods of concentration with your eyes Stringy discharge Have you been frustrated with the need for frequent eye drop use in your attempt to control your symptoms? Dry Eye Treatment In Mumbai At Ojas Eye Hospital, we offer a revolutionary treatment using Optimal Pulse Technology (OPT) to get rid of the root cause of your dry, red, fatigued and burning eyes and help your eyes feel calm and clear – while reducing your dependency on eye drops.

Oculoplastic Surgery is cosmetic and reconstructive procedures on the eyelids, orbit (bones and anatomic structures behind the eyeball) and lacrimal (tear drain) system. Orbit The cavity in the skull that contains the eye is called the orbit formed from parts of frontal, sphenoid, zygomatic, lachrymal, ethmoid, palatine and maxillary bones. Eye doctor plays a role in treating /managing fracture of any of these bones in case of trauma. Oculoplasty Patients of all ages may need Oculoplasty, i.e. eyelid and facial reconstructive surgery for needs purely cosmetic or purely functional. The most advanced and innovative techniques of facial and eyelid surgery for such conditions as excess upper eyelid skin that obstructs vision (bleharoplasty), eyelid ptosis(droopy eyelids), entropion(eyelids that turn in), ectropion(eyelids that turn out), problems of the tear ducts, and thyroid eye disease.

Cornea is the first coat of eye which is transparent circular structure. Functionally it acts as a lens responsible for focusing rays inside the eye. It is an important optical structure through which rays of light enter the eye. Any damage or injury to this delicate structure can lead to permanent loss of corneal transparency or in other words cause clouding and opacification. Loss of corneal transparency prevents the entry of light rays into the eye and reduces vision. In cases of severe of damage, this can cause total loss of vision making the person visually handicapped. There are other conditions also such as malnutrition, Vitamin A deficiency, infection, certain corneal diseases such as ‘keratoconus’ and ‘corneal degeneration’, which can cause corneal blindness. Corneal disease is third largest cause of blindness or low vision in Indian population. Corneal disorders encompass a wide spectrum of diseases most common of these are pterygium, Keratoconus, corneal dystrophy, corneal tears, corneal oedema , infective keratitis, contact lens related keratitis, allergic keratoconjunctivitis, each of these diseases need methodical approach and specialized care.

Contoura vision is an advanced laser treatment for removal of spectacle numbers. Contoura vision also corrects irregularities in the cornea in addition to correcting glass numbers. This results in better quality of vision and sharp and crisp vision. It is a US FDA approved procedure. It corrects the power of glasses by treating at the visual axis thereby providing the sharpest possible vision. It is a painless stitchless procedure without the need of any injection, bandage or hospitalization. It improves the smoothness of the corneal surface . It uses a special equipment called the topolyser which marks the corneal irregularities thereby enhancing the sharpness of vision and making the cornea an optically perfect surface. Contoura Lasik Treatment in Mumbai Advantages of Contoura Vision It gives better contrast sensitivity There is Reduced induction of higher order aberrations (HOA) There is Reduced amount of tissue ablation There is greater clarity of vision.

The opacification of the normal transparent lens is called cataract. The Latin word ‘cataracta’ means ‘waterfall’. Imagine trying to peer through a sheet of falling water or through a frosted or fogged-up window. Development of Cataract varies from person to person but as a general rule, most cataracts develop slowly over a period of time. A cataract can take months or even years to reach a point where it adversely affects vision. Causes of cataract Age-related cataract The cataract occurs as a result of the natural aging process of lens fibres which become opaque over a period of time. Traumatic cataract Due to a direct penetrating injury. Concussion- Electric shock and lightning. Ionizing radiation done as treatment for ocular tumors. Surgical trauma Metabolic cataract: Defect in body metabolism Diabetes Galactosaemia -inborn error of metabolism Calcium disorders

A short surgery done to remove excess upper eyelid skin hanging down over the eyelashes which may or may not interfere with vision. Ectropion – It is a condition where the lower eyelid turns outward causing redness, irritation, watery eyes, infection, crusting, vision impairment, and damage to the cornea (surface of the eye). This is usually a result of facial aging, injury, tumour, or Bell’s Palsy. The surgeon corrects it by doing the needful to the supporting tissues and muscles around the eyelid. Entropion – Here the eyelashes to rub against the eye as the eyelid turns inwards. Caused by laxity of the eyelid and/or spasm of the eyelid muscle, it may produce tear, infection, resulting vision impairment, and even damage to the cornea (surface of the eye). Repair of the supporting structures of the eyelid by an oculoplastic surgeon easily corrects the problem. Eyelid Ptosis – It makes the upper eyelid droop, the cause of which may be injury to the muscle, congenital defect, muscle disorders, nerve disorders, or aging. It can obstruct vision when severe and create a tired or aged appearance. Children may require early correction to prevent development of a ‘lazy eye’, if this obstructs the line of vision. Safe & minimally invasive procedure which takes care of wrinkles around the eye & on forehead. It is also indicated in condition like hemifacial spasms or in excessive painful twitching of eyelids. It can also be used in eye muscle disorders to align the eyes.

Intralase Lasik – Bladeless Or Blade Free Lasik Intralase Lasik – Bladeless Or Blade Free Lasik Intralase is a 100% Blade - free approach using ultra high precision Femtosecond Laser for creating the corneal flap with more safety and accuracy. By eliminating the hand held Microkeratome blade used in traditional LASIK for corneal flap creation, patients enjoy highest level of safety. With Intralase, using a computer controlled laser the surgeon delivers rapid pulses of light to a pre-programmed depth and position within the cornea. Also Intralase is able to treat patients with thin corneas which otherwise would have been turned down for Bladed LASIK. Is Intralase Safe And Trusted The Intralase Method gives your doctor an extremely high degree of surgical control for exceptional outcome. Millions of procedures have been performed safely and efficiently using the Intra Lase Lasik technique with excellent results.

Patients of all ages may need Oculoplasty, i.e. eyelid and facial reconstructive surgery for needs purely cosmetic or purely functional. The most advanced and innovative techniques of facial and eyelid surgery for such conditions as excess upper eyelid skin that obstructs vision (bleharoplasty), eyelid ptosis(droopy eyelids), entropion(eyelids that turn in), ectropion(eyelids that turn out), problems of the tear ducts, and thyroid eye disease.

Keratoconus is a thinning disorder of the cornea that causes distortion and reduced vision