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Asian eye institute & laser centre (AEILC) is an iso 9001-2008 certified eye hospital providing modern & fully integrated "Eye Care Services" catering to wide spectrum of eye diseases in the western suburb of Mumbai, Borivli since 2004 & has started its first satellite eye hospital in Dadar & also at extended suburb of Virar (East). The mission of AEILC is to provide quality & affordable eye care for all.
All the sub speciality in eye including cataract surgery, Phaco cataract surgery, glaucoma treatment & surgery, cornea transplant, retina surgery, laser eye treatment, oculoplasty, squint surgery, lasik treatment for spectacle number, laser vision correction are available at AEILC.
AEILC is one of the best eye hospitals in Mumbai. It is committed to make every phase of the process from diagnosis to treatment as comfortable as possible. With the advent of modern equipments , AEILC has been constantly upgrading the facilities to provide patients with quality care at affordable prices.
AEILC is working towards independence from glasses with Lasik in younger age group & using progressive lens in cataract surgery for the elderly.
Cashless facility for Mediclaim policy holders is also available for all the insurance company.
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Nature of Business

Service Provider

Year of Establishment

2004

Cataract Surgery
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Cataract Surgery

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Cataract is clouding of the natural lens in the eye which leads to blurring of vision & disturbance in normal day to day activities.
Only treatment available for cataract is surgery.
CATARACT EVALUATION -
Your doctor at AEILC will do complete eye examination with
SLIT LAMP BIOMICROSCOPE
APPLANATION TONOMETRY
AUTOKERATOREFRACTOMETER
DILATED RETINAL EXAMINATION with INDIRECT OPHTHALMOSCOPE
IOL MASTER – Gold standard for Lens power calculation

Routine blood investigation with blood sugar & urine examination will be advised before fixing up the appointment for the operation.
eye drops will be prescribed one day prior to the operation.
You need to continue all your other medication related to blood pressure , heart ailment, diabetes. PLEASE DO NOT STOP ECOSPRIN, DEPLATTE tablet used for blood thinning as we do not give any injection during the operation & anaesthesia is given by eye drops.

ON THE DAY OF SURGERY-
You should have light breakfast with tea/coffee before reporting for surgery.
Head bath should be taken on the day of surgery.
Betadine eye drops will be put at the hospital & you will need to sign informed consent    form prior to the surgery.

DURING THE OPERATION-
Lids will be separated by wire speculum & eye anaesthetized with eye drops.
You will need to look at the microscope light during the operation which will take 7-8    minutes.
Cataract removal is done through 1.8 mm fullstop incision through.

PHACOEMULSIFICATION-
At the end , you will be asked to wear dark goggles . It is a NO INJECTION, NO STITCH, NO PATCH operation.

AFTER THE OPERATION-
Slight poking sensation & watering is normal on the first day & it gradually disappears    as the healing takes place.
You will need to put eye drops as prescribed.
Avoid head bath & splashing water in the eye for atleast 8-10 days. Also avoid lifting    heavy weight & strenuous exercises.

TYPES OF LENSES

  is a hard lens & requires little larger cut to implant it as compared to foldable lense.
HYDROPHILIC vs HYDROPHOBIC lenses-
Rate of after-cataract is reduced significantly with hydrophobic lens material.
MONOFOCAL LENSES-
It will give good vision for distance & require reading glasses for near work.
MULTIFOCAL LENSES-
It gives good vision for distance as well as near & the dependence on glasses is reduced significanly. Maximum benefit is gained when both eyes undergo surgery with the same implant.
TORIC MONOFOCAL LENSES-
This will be required to correct any cylindrical number . It will improve distant vision but reading glasses will be required.
TORIC MULTIFOCAL LENSES-
It corrects cylindrical power along with near vision.
EYE INFECTION-
It is the greatest risk in cataract operation & can occur in 1 in 1000 operation.

OUR BRAND PROMISE- 0 % INFECTION
We at AEILC have achieved this over the last 2 years & continuously striving to maintain the same year on year.
Any quetion that you may have will be clarified by your doctor at AEILC during your first consultation prior to operation.

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Retina Surgery Services
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Retina Surgery Services

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We, at AEILC, are equipped with all the diagnostic & surgical equipment for RETINA SURGERY.

KOWA FUNDUS CAMERA- for taking pictures of the retina & fluorescein angiography.
OPTOVUE OCT- for taking CT scan like slices of the retina.
B Scan ULTRASONOGRAPHY- for evaluation of retina & vitreous when media are hazy &     visualization of posterior segment is not possible.
GREEN LASER- with slit lamp, indirect & endolaser delivery system.


It is used for retinal laser around retinal holes & breaks & also in diabetic retinopathy treatment.
BIOM- Binocular indirect ophthalmo microscope –for visualization of retina during    surgery without the need for assistance.
GALAXY SERIES RETINAL SURGICAL SYSTEM- for retinal surgeries.
CRYO UNIT –during buckling surgery for retinal detachment.

We are performing all the retinal surgeries for retinal detachment (buckle, vitrectomy with gas /silicone oil), Sutureless vitrectomy for diabetic retinopathy/vitreous haemorrhage, Intravitreal injection for ARMD(age related macular degeneration), Macular hole surgery, complicated retinal detachments.

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Lasik Surgery
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Lasik Surgery

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lasik is an acronym for “laser assisted in situ keratomileusis”.
in lasik, a flap is created in the cornea with a hinge (around 90-130 micron) & then excimer laser is applied on the corneal bed to reshape the cornea according to the spectacle number.

it can correct myopia, hyperopia & astigmatism with high degree of precision.
we at aeilc are doing lasik since 2007 under the guidance of dr hitesh chheda with nidek ec 5000 cxiii excimer laser from japan.

lasik evaluation-
you will undergo complete eye examination which will include
refraction with autokeratorefractometer
applanation tonometry
dilated retinal evaluation
topography & abberometry with nidek opd scan iii analyser
pachymetry map with optovue anterior segment oct.

after complete evaluation, your doctor at aeilc will be able to tell you whether you are right candidate for lasik.

types of lasik surgery-
basic(optimsed) in this , your spectacle number is fed in the machine & treatment is    done.
customised (wavefront guided)- in this , in addition to your spectacle number , lot of    other measurements of the eye are taken into consideration (from nidek opd scan iii)&    treatment is undertaken.
blade less- in this , corneal flap is created with z laser instead of microkeratome.

before lasik surgery-
you should discontinue wearing contact lenses for atleast a week.
on the day of surgery, you should have light breakfast.
eye drops will be put and skin around the eye will be prepared with    betadine solution.

during lasik surgery-
eye will be anaesthetized with paracain eye drops so that entire procedure is painless.
lids are separated & held in position by speculum to avoid eye squeezing during laser    treatment.
suction ring is applied around the cornea & then corneal flap created by    microkeratome or with z laser in bladeless lasik.
after the creation of the flap, it is lifted & you need to focus on the fixation red light    when the laser ablation is carried out to reshape the cornea.
flap is then rolled back in to position & the edges are dried with cellulose sponge so    that it sticks with capillary action.
at the end, antibiotic eye drops are applied & the same procedure is repeated on the    other eye.

after lasik procedure-
you will be asked to wait in the waiting area for 10-15 minutes with your eyes closed.
you will be examined by your doctor before asked to go home.
on the day of surgery, you should rest with your eyes closed for faster healing.
you will be asked to put antibiotic & lubricating eye drops 4 times a day.
from the very next day, vision becomes clear & you can resume your normal work.

precautions-

you should avoid rubbing the eyes & avoid splashing water in the eye for atleast 15 days. -

follow up examination-
will be done on the very next day & one week later.

prk (photo refractive keratectomy)
it will be required if the corneal thickness is less than anticipated.
instead of creating the flap, epithelium is removed & laser is applied directly on the     surface & hence it is also called surface ablation.
recovery takes 4-5 days by which time epithelium grows back.

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Glaucoma Surgery
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Glaucoma Surgery

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Glaucoma is a slowly progressive degeneration of the optic nerve due to high intraocular pressure leading to blindness.

It is a silent thief of vision & hence everyone should undergo regular eye check up after the age of 35 years. In India, angle closure glaucoma is very common & it's early detection & by laser iridotomy cures the disease. = Simple treatment by laser iridotomy cures the disease if done at the right time.

In early stages, all the glaucoma tests are normal and laser iridotomy should be done even before the eye pressure has started rising. Once the eye pressures are high, more than 3/4 of angle is already closed & laser iridotomy is not of much help at this stage.

Medical treatment of glaucoma- to control eye pressure, you need to put the eye drops prescribed by your doctor for the rest of your life & do eye check up at regular intervals.

Surgical treatment (trabeculectomy with mitomycin)- In this operation, new passage is created for outflow of aqueous under the superior conjunctiva. Majority of patients do not need to put eye drops after the operation. But you need to continue eye check up at regular intervals.

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Squint Surgery
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Squint Surgery

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1) ESOTROPIA
ACCOMODATIVE ESOTROPIA- usually develops after the age of 6 month. Gets corrected completely by glasses. If the glasses are not worn at early stage, surgery will be required for full correction of esotropia.

NONOACCOMODATIVE ESOTROPIA
usually present at birth & requires operation.

2) EXOTROPIA
This is the most common form of squint. Surgery is the only corrective measure &    should be done at earliest.
All squint surgeries should be performed below the age of 5 years when brain is    developing & binocular vision is developing.
When the angle of squint is more than 30 prism dioptres surgery will be required on    both the eyes.
We have facility for general anaesthesia at our Borivali centre.

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Paediatric Eye Surgery
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Paediatric Eye Surgery

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Diseases of eye affecting paediatric population require lot of patience & special tests for vision assessment. Many a times you need to give general anaesthesia for examination of eye. Early diagnosis and treatment is important as brain connections & visual functions are developing below the age of 5 years.

Most common paediatric eye diseases include
Refractive errors- eyes need to be checked after dilatation which will take 1-2 hrs.

Paediatric cataract- causes include hereditary (most common), genetic disorders, maternal infection like rubella, trauma. Urgent surgery is needed with intra ocular lens implantation. Visual rehabilitation after operation & regular check up is equally important.

Paediatric glaucoma- it presents with corneal clouding or corneal enlargement, reflex tearing, photophobia. Surgery will be needed at the earliest.

Nasolacrimal duct obstruction- it occurs in about 5% of full term new borns. Symptoms consists of watering & discharge. Treatment consist of topical eye drops & lacrimal message. In majority of patients (more than 70%), it opens up spontaneously by age of 1 year. In the rest, lacrimal probing needs to be done under general anaesthesia.

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Cornea  Surgery
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Cornea Surgery

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Cornea is the clear transparent structure present in the front of the eye. It allows rays of light to pass through it to reach the crystalline lens.

Microscopically, the cornea has 5 layers, Epithelium, Bowman’s membrane, Stroma, Descemet’s membrane, endothelium. The innermost layer, that is the endothelium, has the function of pumping water out of the remaining layers.

The cornea is special in many ways. It has no blood supply except the peripheral 1-2 mm rim. This, in addition to the endothelial pump allows it to maintain its transparency. This also provides the cornea Immune privilege, which partially protects a corneal transplant from rejection. Secondly, only cells of the corneal epithelium can regenerate. The rest of the layers do not regenerate but lead to formation of opaque scars. The endothelial cells, however, can up-to a certain extent, expand and compensate for the function of other lost endothelial cells.

Corneal Disorders
Common corneal disorders include conditions such as Corneal Ulcers, Keratoconus, Corneal Dystrophies and degenerations, Trauma, Ocular surface conditions such as Steven Johnson Syndrome, Severe Dry eye disease, Ocular Cicatricial Pemphigoid, etc.. Medical management is effective in infections, dry eye diseases and early cases of corneal decompensation. Most other disorders require surgical treatment in the form of transplant procedure.

Treatment modalities
Traditionally, corneal transplantation has been performed as a full thickness procedure, replacing all the layers of the cornea irrespective of the primary disease. However, recent advances in surgical procedures now permit us to transplant selectively the faulty layers, based on the primary layer affected. At Asian eye institute all the latest types of surgeries are performed ensuring that the patient receives the best care he deserves at the appropriate cost.

Full thickness Corneal Transplant:

This involves replacing the entire thickness of the cornea with a donor cornea and fixing it with 16 sutures. Postoperatively, steroid drops are required on a life long basis to prevent rejection. The sutures are gradually removed. Glasses may be required for clear vision until all the sutures have been removed or have degenerated.

Deep Anterior Lamellar keratoplasty:
This involves removal of only the anterior most layers of the cornea, carefully retaining the normally functional endothelium. Approximately 16 sutures are required to secure the graft. Preserving the endothelium eliminates the chance of an endothelial rejection and reduces the need for post operative steroids.

Descemets stripping endothelial keratoplasty:

This involves selectively replacing the faulty endothelium. Only 2/3 sutures are sufficient to secure the graft. The procedure significantly reduces the chances of rejection as compared to a full thickness graft. Also visual recovery is much quicker requiring lesser change of glasses.

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Oculoplasty Surgery
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Oculoplasty Surgery

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Ocular plastic & aesthetic surgery has advanced at a rapid pace in recent years & it is a sub specialty at ASIAN eye institute & laser centre.

It includes surgeries on eye lids, lacrimal drainage system, orbital surgeries. Aesthetics include injections of botox & fillers to hide age related wrinkles of facial skin, blepharoplasty for removal of redundant skin..

Most commonly performed operations -
1. Dacryocystorhinostomy surgery. ( "NASUR" in common language) External operation through skin gives best results in expert hands. Scar is very small ,is placed within the skin crease & fades away with time. Endonasal operation through nose avoids skin scar but chances of failure are high.
2 . Ptosis- drooping of the upper eye lid. For congenital ptosis, brow suspension with silicone sling is done. For post trauma, aponeurotic defect is repaired or aponeurosis is reinserted to tarsus. For mild to moderate ptosis with good levator function- Fasanella-Servat operation is performed.
3. Entropion- Eye lid margin is inverted & eye lashes rub against cornea leading to irritation & watering. Can be easily corrected surgically.
4. Ectropion- Lid margin is everted leading to watering.
5. Orbital implant with prosthetic eye- when visual recovery is not possible & to provide better looking cosmetic appearance , porous implant is incorporated.

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Keratoconus Surgery
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Keratoconus Surgery

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Keratoconus is a condition in which the cornea is thinner and more curved. Progression of the process of thinning or increase in curvature reduces vision and may lead to significant impairment of vision.

The primary defect lies in the cross links that are present between two fibres of the corneal stromal collagen. In keratoconic eyes, these cross links are known to be fewer in number or strength leading to thinning or change in curvature. This progression may be present only for a limited time period, stabilizing on its own, or may continue to occur leading to an irreversible loss of vision.

Management of keratoconus involves a two pronged approach
Identification if progressive or not, and treatment of progression if identified
Ensuring best possible visual correction

Corneal Topography
Diagnosis and follow up of keratoconus requires corneal topography, wherein the corneal shape is captured and analysed numerically. This allows serial review of this shape and early identification of progression. A typical topography map is as shown below.

Collagen cross-linking:
If the corneal thinning is identified to be progressive, either on serial topography or a continuous change in the glasses or contact lens power, corneal collagen cross linking procedure is indicated. This involves treatment of the corneal collagen by UV A light and riboflavin. Goal of the procedure is to arrest the progression of keratoconus. There is no or slight improvement in the visual acuity of the patient. The procedure is painless and patient goes home on the same day. Post operative care includes  drops for a few days.

TREATMENT OF VISUAL DISTURBANCE

Glasses
These form the mainstay of correction in the initial stages. However at a point the corneal shape becomes very irregular such that glasses are unable to give the best possible vision.

Contact lenses
Contact lenses are able to give very good vision in early cases if the cornea is clear and not scarred. Many options are available to improve vision namely.
Soft contact lenses
Rigid Gas Permeable lenses
Scleral and mini scleral lenses

It is unclear if any particular type of lens has an effect on progression of disease; however, RGP lenses and Scleral /mini scleral lenses offer good clarity of vision. Scleral/ mini sclera lenses have added advantage of increased comfort. Training regarding maintainance and application of lenses is a must.

Corneal transplantation
Depending on the amount of scarring and stage of disease either a full thickness transplant or a deep anterior lamellar keratoplasty is performed in cases where vision does not improve either by glasses or any type of contact lenses. (See section on keratoplasty for details). At Asian Eye Institute, we are well equipped to tackle keratoconus in any of the stages by the latest modalities of management.

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Having been associated with a number of TPAs, Asian Eye offers cashless surgery facility to the mediclaim policy holders. Our affiliations include the following :



 Mediclaim 
 Alankit Health Care TPA Ltd.Anmol Medicare Ltd.
 Apollo DKVBajaj Allianz General Insurance Co. Ltd.
 Cholamandalam MS Pvt. Ltd.Dedicated Healthcare Services TPA (India) Pvt. Ltd.
 E-Meditek Solutions Ltd.Family Health Plan Ltd.
 Future GeneraliGood Healthplan Ltd.
 Genins India Ltd.Grand Healthcare Services (India) Pvt.Ltd.
 Health India TPA Services Pvt. Ltd.HDFC ERGO General Insurance Company Ltd.
 Heritage Health Services Pvt. Ltd.ICICI Lombard.
 i-Health CareMD India Healthcare Services TPA Pvt. Ltd.
 Med Save HealthCare Ltd.Medi Assist India Pvt. Ltd.
 Medicare TPA Services Pvt. Ltd.Paramount Health Services Pvt. Ltd.
 Park Mediclaim.Raksha TPA Pvt. Ltd.
 TTK Healthcare Services Pvt. Ltd.Roothshield Healthcare TPA Services Ltd.
 Universal Medi-Aid Services Ltd.Sri Gokulam Health Services TPA Pvt. Ltd.
 Vipul MedCorp TPA Pvt. Ltd.Star Health and Allied Insurance Co. Ltd.
 United Healthcare Parekh TPA Pvt. Ltd.

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