Cataract


A cataract is a dense, cloudy area that forms in the lens of the eye. A cataract begins when proteins in the eye form clumps that prevent the lens from sending clear images to the retina. The retina works by converting the light that comes through the lens into signals. It sends the signals to the optic nerve, which carries them to the brain. A cataract is a dense, cloudy area that forms in the lens of the eye. A cataract begins when proteins in the eye form clumps that prevent the lens from sending clear images to the retina. The retina works by converting the light that comes through the lens into signals. It sends the signals to the optic nerve, which carries them to the brain.

Symptoms of Cataracts:-


  • Blurry vision
  • Trouble seeing at night
  • Seeing colours as faded
  • Increased sensitivity to glare
  • Halos surrounding lights
  • Double vision in the affected eye
  • A need for frequent changes in prescription glasses

Risk Factors of Cataracts:-


  • Older age
  • Heavy alcohol use
  • Smoking
  • Obesity
  • High blood pressure
  • Previous eye injuries
  • A family history of cataracts
  • Too much sun exposure
  • Diabetes
  • Exposure to radiation from x-rays and cancer treatments

TREATMENT


There is no medical treatment for cataract. Though, surgery (Cataract extraction & Intraocular lens implantation) is the only treatment, but in initial stages, refraction and adjustment of illumination helps.

TYPES OF SURGERY


Phacoemulsification with foldable IOL ( Intra Ocular Lens) implantation is the choice of surgery. Manual small incision cataract surgery is also very popular surgery in India . Laser Cataract Surgery: Femtosecond Laser is used to perform few steps of surgery in phacoemulsification.

CORNEAL DISEASES:-


The cornea is the transparent window covering the front part of the eye - like a watch glass that covers the inner structures. The function is to focus light on the retina for clear vision and helps in protecting the inner parts. A clear cornea is important for good vision. The cornea consists of five layers – The epithelium, Bowman’s layer, the stroma, Descemet’s membrane, the endothelium. Functionally the endothelium is most important.

The Kashi N Corneal Service comprises of a dynamic team of cornea sub-specialty ophthalmologists who are skilled in the latest medical and surgical care of patients with corneal, external eye and anterior segment diseases.

CONDITIONS MANAGED BY US INCLUDE-


  • Corneal dystrophies – including Fuchs’ dystrophy, stromal dystrophies
  • Corneal ectasias – e.g. Keratoconus, Pellucid marginal degeneration
  • Dry eye diseases
  • Allergic eye diseases
  • Bullous keratopathy
  • Anterior segment trauma and foreign body
  • Chemical and thermal injuries
  • Degenerative conditions such as pterygium, pinguecula etc.
  • Pediatric and congenital corneal conditions
  • Infections of cornea and conjunctiva
  • Inflammatory conditions of cornea, conjunctiva and sclera
  • Management of corneal scars
  • Contact lens services – including cosmetic and specialty lenses
  • Ocular prosthesis and cosmesis

SERVICES PROVIDED BY US:


  • Corneal Transplantation: all techniques including modern lamellar techniques like DSEK, DMEK and DALK are done by us.
  • Optical Penetrating Keratoplasty and combined cataract triple procedure
  • Deep Anterior Lamellar Keratoplasty
  • Endothelial Keratoplasty: 1. Descemet’s Stripping (Automated) Endothelial Keratoplasty (DSAEK/ DSEK) 2. Descemet’s Membrane Endothelial Keratoplasty (DMEK), 3. Combined procedure with cataract and IOL implantation
  • Corneal /scleral patch graft
  • Dermoid excision with lamellar corneoscleral graft
  • Therapeutic penetrating keratoplasty
  • Tectonic keratoplasty
  • Keratoprosthesis – for extreme cases of corneal condition. Boston type 1 and type 2; Auro kpro
  • Ocular Surface and Reconstructive Surgery
  • Buccal mucous membrane graft (BMM) for lid margin keratinization
  • Symblepharon management
  • Tenonplasty
  • Stem cell transplant – SLET – auto and allograft
  • Amniotic membrane grafting
  • Collagen crosslinking for prevention of keratoconus progression.
  • Ocular surface tumour surgery and management
  • Ocular trauma management - Corneal repair/ scleral repair and additional procedures (cataract and ant vitrectomy) and rehabilitation
  • Management of Corneal and Anterior Segment Foreign Bodies
  • Management of Corneal Perforations.
  • Pterygium and conjunctival mass removal.
  • Treatment of surface irregularities – such as SND, EBMD, BSK, etc
  • Punctal Occlusion for dry eye
  • Tissue Glue and BCL for corneal thinning
  • Tarsorrhaphy
  • Corneal tattooing
  • AC tap and aqueous collection for microbiology investigation
  • Intrastromal anti-VEGF injection

TREATMENT


There is no medical treatment for cataract. Though, surgery (Cataract extraction & Intraocular lens implantation) is the only treatment, but in initial stages, refraction and adjustment of illumination helps.

TYPES OF SURGERY


Phacoemulsification with foldable IOL ( Intra Ocular Lens) implantation is the choice of surgery. Manual small incision cataract surgery is also very popular surgery in India . Laser Cataract Surgery: Femtosecond Laser is used to perform few steps of surgery in phacoemulsification.