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Belgaum Lasik Laser Center

Belgaum, Karnataka
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Graduate and postgraduate from Miraj Medical College, MirajGold medalist in “Preventive and social Medicine”Specialized Training in Microsurgery and LASERS from L.V. Prasad Eye Institute, HyderabadPracticing consultant Eye Surgeon in varies institutes in Kolkata for 6yers. [1990-1996]Established “Community Eye care center” in Kasbekar Metgud Hospital, Belgaum. In 1997… till dateEstablished “Sri Eye Care and Laser Center” college Road, Belgaum. In 2000….till date FIRST, UNIQUE and ONLY of its kind in Belgaum which has most of the LASERS in eye careEstablished “Priyadarshini Eye, Health Care and Research Foundation” which runs a community based eye Hospital, Serving poor and under privileged blinds, more than 5000 free eye operation for cataract with IOL implantation have been performed, and we thrive to achieve more….+ Read More

Nature of Business

Service Provider

Year of Establishment

1990

Computerized Eye Testing
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Computerized Eye Testing

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A method, apparatus, and software for exercising human eyes with a monitor onto which is projected a plurality of shapes such that portions of the shapes have a contrast changing at a speed less than or equal to approximately 2.0 cycles/sec. The shapes comprise paired shapes of opposite colors (black/white, red/green, or blue/yellow, or combinations thereof), and the speed is preferably less than or equal to approximately 0.8 cycles/sec. Also a method, apparatus, and software projecting a plurality of symbols each comprising a plurality of bars one of which has a length different than that of others in the symbol. A visual efficiency is calculated based upon a number of identical symbols correctly located by a user and a time to locate the identical symbols.

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Computerized Perimetery
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Computerized Perimetery

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During the last few years computerized perimetry has become a clinical reality. This new technique eliminates the operator’s error, ensures reproducibility of test procedures and parameters and makes visual field testing of large numbers of patients possible. Great differences exist between computerized perimeters. Differences in hardware for example, the way in which stimuli or field charts are produced may be striking but even more important are differences in software, especially test algorithms. The results obtained with some instruments and test programmes are of such high quality that the same level of performance may be almost impossible to obtain with manual perimetry, at least in a clinical setting. Nevertheless, improvements can be expected in the future particularly in adaptive tests and in computerized interpretation of the fields.

A visual field test is an examination that may be performed to analyze a patient’s visual field. The exam may be performed by a technician in one of several ways. The test may be performed by a technician directly, with the assistance of a machine, or completely by an automated machine. Machine based tests aid diagnostics by allowing a detailed printout of the patient’s visual field.

Computerized perimeters have increased the precision with which visual fields may be tested. The purpose here is to present considerations for properly performing automated perimetry. Selecting the correct perimeter to complement specific practices is discussed, and various test strategies available on automated perimeters are reviewed. Selection of the appropriate program to provide the clinician with the information needed is essential. A step-by-step discussion as to proper performance of automated perimetry includes factors that should be considered so that consistency between visual field examinations can be maintained. Confounding variables, such as the learning effect, pupil size, and various ocular pathologies, are discussed with respect to their effects on automated perimetric results.

 

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Retina Service
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Retina Service

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The retina is like the film in a camera. It is the seeing tissue of the eye. 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.

Retina has two main parts: The peripheral retina and central Macula. Macula being the central part, is capable of producing sharp and clear image. This clear images enable us to read , write and do all fine work.
Conditions like Diabetes, Age related Macular degeneration and Macular holes can damage retina.

Services offered in The Retina Clinic include Outpatient Services – Diagnosis and treatment of Retinal DiseasesOcular Oncology Services – diagnosis and treatment of tumors of the eye. Neonatal Services – examination and treatment of retinal problems in infants particularly premature babiesAcademic and Research activities The Retina Clinic also offers special screening and treatment packages for diabetics. The Retina Clinic is equipped with contemporary facilities for diagnosis and management of vitreoretinal diseases. Fluorescein angiography Indocyanine green angiography A B scan ultrasonography Optical Coherence Tomography Laser Photocoagulation Photodynamic Therapy Anti-VEGF treatment.

 

It is now possible to directly visualize Retinal Layers with OCT

An OCT with the help of which:

* Structures of the Retinal Layers are now directly visible and measurable.
* Macular thickness in diabetic macular edema is quantified; intraretinal or subretinal fluid accumulation can be tracked.
* Post treatment resolution of retinal thickening can be monitored

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Green Laser Treatment
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Green Laser Treatment

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Green laser photocoagulator is a laser-based medical equipment extensively used for the treatment of diabetic retinopathy. Diabetic retinopathy is a disease which causes the growth of excess fragile blood vessels in the retina of the patient suffering from prolonged diabetes. The rupture of these blood vessels causes bleeding and subsequently leads to blindness. The green light from the photocoagulator can reach the retina without much absorption at the intermediate ocular media and gets absorbed at the retina, enabling controlled cutting and blocking of the excess blood vessels leading to simple and less painful treatment of the disease with faster healing than the conventional surgical methods.

It is the most effective and safest laser with the property of maximum absorption by hemoglobin and melanin and least absorption by xanthophylls pigment of macula.

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Yag Laser Treatment
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Yag Laser Treatment

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YAG lasers are used in ophthalmology to correct posterior capsular opacification, a condition that may occur after cataract surgery, and for peripheral iridotomy in patients with acute angle-closure glaucoma, where it has superseded surgical iridectomy.

 

  • YAG LASER produces a concentrated beam of light that can focus on the iris or any thick membrane behind the intraocular lens.This laser beam can create a smooth ,fine opening of desired size in these structures without affecting other sensitive parts of the eye.
  • YAG LASER treatment is done as an Out Patient procedure. Special eye drops are put in the eyes to numb them . A small contact lens is placed on the eye to direct the laser light on to the desired site.The treatment takes only few minutes and the patient can go back home immediately.
  • Laser surgery is safe and painless with few complications.

Some common diseases where YAG LASER is used :

  • After Cataract or Posterior Capsular 0pacity – A membrane is left behind in Cataract surgery. This membrane supports the IOL { Intra Ocular Lens or Artificial lens} inside the eye.It may get thickenned or opaque as a process of scarring few months following surgery.This may reduce the vision again even after good and successful cataract operation. YAG LASER is used to clean this opaque membrane.
  • Acute glaucoma – A condition where the pressure of the eye is raised that causes pain and loss of vision.YAG LASER is used to create a small openning in the Iris to facilitate the flow of liquid outside the eye.without surgical intervention.

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Phacoemulsification
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Phacoemulsification

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Phacoemulsification refers to modern cataract surgery in which the eye’s internal lens is emulsified with an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution, thus maintaining the anterior chamber, as well as cooling the handpiece.
A delicate organ, the eye requires extreme care before, during and after a surgical procedure. An ophthalmologist must diagnose a cataract  and conduct or appropriately supervise the conduction of the operation. University programs typically allow patients to specify if they want to be operated upon by the consultant or the resident or fellow.

Preparation and precautions:
Proper anesthesia is a must for ocular surgery. Topical anesthesia is most commonly employed, typically by the instillation of a local anesthetic such as tetracaine or . Alternatively, lidocaine and/or longer-acting bupivacaine anesthestic may be injected into the area surrounding (peribulbar block) or behind (retrobulbar block) the eye muscle cone to more fully immobilize the extraocular muscles and minimize pain sensation. A facial nerve block using lidocaine and bupivacaine may occasionally be performed to reduce lid squeezing. General anesthesia is recommended for children, traumatic eye injuries with cataract, for very apprehensive or uncooperative patients and animals. Cardiovascular monitoring is preferable in local anesthesia and is mandatory in the setting of general anesthesia. Proper sterile precautions are taken to prepare the area for surgery, including use of antiseptics like povidone-iodine. Sterile drapes, gowns and gloves are employed. A plastic sheet with a receptacle helps collect the fluids during phacoemulsification. An eye speculum is inserted to keep the eyelids open.

Surgical technique:
Before the phacoemulsification can be performed, one or more incisions are made in the eye to allow the introduction of surgical instruments. The surgeon then removes the anterior face of the capsule that contains the lens inside the eye. Phacoemulsification surgery involves the use of a machine with microprocessor-controlled fluid dynamics. These can be based on peristaltic or a venturi type of pump.
The phaco probe is an ultrasonic handpiece with a titanium or steel needle. The tip of the needle vibrates at ultrasonic frequency to sculpt and emulsify the cataract while the pump aspirates particles through the tip. In some techniques, a second fine steel instrument called a “chopper” is used from a side port to help with chopping the nucleus into smaller pieces. The cataract is usually broken into two or four pieces and each piece is emulsified and aspirated out with suction. The nucleus emulsification makes it easier to aspirate the particles. After removing all hard central lens nucleus with phacoemulsification, the softer outer lens cortex is removed with suction only.
An irrigation-aspiration probe or a bimanual system is used to aspirate out the remaining peripheral cortical matter, while leaving the posterior capsule intact. As with other cataract extraction procedures, an intraocular lens implant (IOL), is placed into the remaining lens capsule. For implanting a PMMA IOL, the incision has to be enlarged. For implanting a foldable IOL, the incision does not have to be enlarged. The foldable IOL, made of silicone or acrylic of appropriate power is folded either using a holder/folder, or a proprietary insertion device provided along with the IOL.It is then inserted and placed in the posterior chamber in the capsular bag (in-the-bag implantation).

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Ultrasonography
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Ultrasonography

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Ultrasonography  the imaging of deep structures of the body by recording the echoes of pulses of ultrasonic waves directed into the tissues and reflected by tissue planes where there is a change in density.
An eye and orbit ultrasound is a test to look at the eye area, and to measure the size and structures of the eye.

Why the Test is Performed

The ultrasound can examine the farthest part of the eyeball when you have cataracts or other conditions that make it hard for the doctor to look into your eye. The test may help diagnose retinal detachment or other disorders when the eye is not clear and the ophthalmologist cannot use routine examining equipment.

How the Test is Performed

The test is usually done by experts.
You usually sit in a chair. Your eye is numbed with medicine (anesthetic drops). The ultrasound wand (transducer) is placed against the front surface of the eye.

The ultrasound uses high-frequency sound waves that travel through the eye. Reflections (echoes) of the sound waves form a picture of the structure of the eye. The test takes about 15 minutes.

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Biometry Services

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Biometry, or Biometrics, is a division of Biology that uses statistical applications for conducting the study of living things. Biometric tools are widely used in studying growth, biological similarities and differences, authentication of individuals based on his/ her behavioral and physiological characteristics.

The measurement of the various dimensions of the eye and of its components and their interrelationships. The axial length and the corneal curvature are essential measurements to predict the correct lens power of an intraocular lens. There are several biometers which are used prior to cataract surgery some based on ultrasound, others on optical systems. A commonly used optical biometry method called partial coherence interferometry (PCI) (e.g. uses infrared laser light and provides a measurement of axial length, lens thickness, anterior chamber depth and corneal curvature). It also includes software for the calculation of an intraocular lens power using a selection of formulae. It is not appropriate for eyes with dense cataracts or severe corneal oedema, in which case ultrasonography is preferable

A-scan is an amplitude modulation scan. It gives the information in the form of one dimensional. it is used to detect the presence of flaws in the materials. A-scan ultrasound biometry, commonly referred to as an A-scan, is routine type of diagnostic test used in ophthalmology. The A-scan provides data on the length of the eye, which is a major determinant in common sight disorders. The most common use of the A-scan is to determine eye length for calculation of intraocular lens power. Briefly, the total refractive power of the emmetropic eye is approximately 60. Of this power, the cornea provides roughly 40 diopters, and the crystalline lens 20 diopters. When a cataract is removed, the lens is replaced by an artificial lens implant. By measuring both the length of the eye (A-scan) and the power of the cornea (keratometry), a simple formula can be used to calculate the power of the intraocular lens needed. There are several different formulas that can be used depending on the actual characteristics of the eye.

The other major use of the A-scan is to determine the size and ultrasound characteristics of masses in the eye, in order to determine the type of mass. This is often termed quantitative A-scan.

 

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Contact Lens Service

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Contact Lens Clinic offers appointments for contact lens check ups, new fittings and preliminary consultations to assess suitability for contact lenses for daily or extended wear.

Advancements in contact lens technology offer the potential for successful contact lens wear to most of our patients.
Contact lenses not only enhance visual acuity and appearance, but also improve performance in different visual tasks; helps avoid fogging of glasses in different environments, and also improve performance of other fast activities like sports.

Because contact lenses are medical devices placed on the eyes, they require expert fitting and careful instruction, as well as conscientious care and compliance with recommended follow-up examinations to maintain the healthy functioning of your eyes. To insure your contact lens success, we would like to familiarize you with our contact lens procedures and policies.

Uses of Contact Lens

The primary use of contact lenses is to correct myopia (short sightedness). They can also be used to rectify hyperopia, astigmatism, presbyopia and aphakia. Rigid lenses are used to correct irregular corneal trauma. Soft lenses are used as bandages for conditions like bullous keratopathy, recurring corneal erosion as well as to increase comfort, vision and postoperative wound healing.

Contact lenses are capable of correcting most of the problems that spectacles can as well as some additional ones that glasses cannot.

People not satisfied with their appearance using glasses can opt to use contact lenses for improved appearance. Contact lenses are not in the danger of slipping off, getting wet, or fogging up, which can easily happen with spectacles.

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Glaucoma & Squint Service
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