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144188195215245280

Dr Agarwals Eye Hospital

Chennai, Tamil Nadu
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Offering you a complete choice of products which include Neuro Ophthalmology, Cataract, Glaucoma Eye Treatment, Retina, Orbit & Oculoplastics and Squint & Pediatric Ophthalmology.

Neuro Ophthalmology
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Neuro Ophthalmology

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Neuro-ophthalmology is the subspecialty of both neurology and ophthalmology concerning visual problems that are related to the nervous system.
 History/Symptoms To Be Alert Of:

 

Decreased Vision - Sudden Onset Painful Transient.

Double Vision - Sudden Onset-Head Turn To One Side Relieved When One Eye Is Closed.

Headache - Mild To Very Severe Associated With Vomitting One Sided.

Photophobia - Difficulty In Seeing Lights.

Spot In Front Of The Eye - Only Central Area & One Half Is Not Seen.

Detailed History:

Present Complaints Like Headache, Double Vision, Decreased Vision, Decreased Fields-How Long The Patient Has Been Suffering From.

Any Previous Ocular History, Any Previous Medical History Like Diabetes And Hypertension.

Family History - Anybody In The Family Who Developed Eye Problems.

Social History - Any History Of Taking Alcohol And Smoking.

Drug History - Any Medication The Patient Is On?, Any Allergy To Drugs.

Visual Acuity-Checked By Sneller's Chart

Colour Vision-By Using Ishihara's Pseudo Isochromatic Plates. (This Is A Plate With A Number In One Coloured Dots And Surrounded By Dots Of Different Shades. This Is A Simple Clinical Test And Identifies Whether The Patient Is 'Red-Green' Colour Blind.)

Slit Lamp Biomicroscopy

This Instruments Provided Magnified Excellent View Of The Anterior Segment And With The Help Of Special Lenses The Posterior Segments Also Can Be Visualised.

Indirect Ophthalmoscopy

This Instruments Provides An Complete View Of The Retina Upto The Periphery.

Pupil Examination

Normally Both The Pupils Are Of Same Size. When There Is A Difference In Size Of The Pupil, It Could Be A Problem. So Complete Examination Of Pupil Has To Be Done Sometimes Special Eye Drops Is Used To Check The Pupillary Reaction.

Ocular Motility Examinations

To Look For Face Turn.

To Look For Extra Ocular Movements.

Any Restriction.

Having Double Vision In Certain Gazes.

Visual Fields Examination

Confrontation:

Clinical Test To Find Out Gross Visual Field Defect.

Autoperimetry:

Using Neurological Fields It Is Possible To Locate Exactly The Portions Which The Patient Is Not Seeing. Needed For Documentation And To Access The Improvement After Treatment.

Ffa:

This Is A Fundal Photography Taken By Injecting A Dye In The Vein. The Dye Is Metabolised In The Liver And Excreted In The Urine. Ffa Gives Fine Details And Whether There Is Dye Leaking Or Staining Or Autoflourescence And Transmission Defects And Filling Defects.

Oct Scan:

Oct Uses Light And Creates A High Resolution Cross Sectional Iage Of The Retina, Optic Nerve Head, N Fiber Layer.

Vep:

Vep Is A Gross Electrical Response Recorded From The Visual Cortex. It Is Obtained By Changing Visual Stimulus Like Multiple Flash Or Chekerboard Pattern Stimuli, Useful In Cooperative Patients Also.

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Cataract
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Cataract

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A cataract is a clouding of the lens in the eye that affects vision. Most cataracts are related to aging. Cataracts are very common in older people. By age 80, more than half of all Americans either have a cataract or have had cataract surgery.

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Glaucoma Eye Treatment
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Glaucoma Eye Treatment

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Glaucoma is an eye disorder in which the optic nerve suffers damage, permanently damaging vision in the affected eye
 Glaucoma is caused by a number of different eye diseases that in most cases produce increased pressure within the eye. This elevated pressure is caused by a backup of fluid in the eye. Over time, it causes damage to the optic nerve. Through early detection, diagnosis and treatment, you and your doctor can help to preserve your vision.

 

Who is at the risk of developing Glaucoma?

People over the age of 45.

People who have a family history of glaucoma.

People with abnormally high intraocular pressure (IOP).

People of African descent.

People who have:

Diabetes.

Myopia (nearsightedness).

Regular, long-term Steroid/Cortisone use.

A previous eye injury.

How should I know I have glaucoma?

At first, open-angle glaucoma has no symptoms. It causes no pain. Vision stays normal. Glaucoma can develop in one or both eyes.

Without treatment, people with glaucoma will slowly lose their peripheral (side) vision. As glaucoma remains untreated, people may miss objects to the side and out of the corner of their eye. They seem to be looking through a tunnel. Over time, straight-ahead (central) vision may decrease until no vision remains.

Many people may know of the "air puff" test or other tests used to measure eye pressure in an eye examination. But, this test alone cannot detect glaucoma. Glaucoma is found most often during an eye examination through dilated pupils. This means drops are put into the eyes during the exam to enlarge the pupils. This allows the eye care professional to see more of the inside of the eye to check for signs of glaucoma.

Can glaucoma be cured?

No. There is no cure for glaucoma. Vision lost from the disease cannot be restored. With treatment, further visual loss can be prevented.

What are the types of glaucoma?

There are mainly 3 types of glaucoma:

Open angle glaucoma: About half of Americans with chronic glaucoma don't know they have it. This common type of glaucoma gradually reduces your peripheral vision without other symptoms. By the time you notice it, permanent damage already has occurred. If your IOP remains high, the destruction caused by POAG can progress until tunnel vision develops, and you will be able to see only objects that are straight ahead.

Closed Angle Glaucoma: Angle-closure or narrow-angle glaucoma produces sudden symptoms such as eye pain, headaches, halos around lights, dilated pupils, vision loss, red eyes, nausea and vomiting. These signs may last for a few hours, then return again for another round. Each attack takes with it part of your field of vision.

Secondary glaucoma. Symptoms of chronic glaucoma following an eye injury could indicate secondary glaucoma, which also may develop with presence of eye infection, inflammation, a tumor or an enlarged cataract.

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Retina
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Retina

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The vertebrate retina is a light-sensitive tissue lining the inner surface of the eye.

Diabetic retinopathy diagnosis and management – Screening for diabetic retinopathy is important for individuals having diabetes of five years or more duration. It can destroy the vision silently over a period of time. Patients if diagnosed would need FFA and/or OCT to define the stage of the disease. Advanced cases might need retinal laser treatment or vitrectomy surgery to restore the vision.

Hypertensive retinopathy – Hypertensive retinopathy can affect the eye quietly or can present as loss of vision with sudden onset. Patients with hypertension needs to be examined from time to time and if evidence of retinopathy is found, they would need FFA, OCT, retinal laser or vitrectomy (surgery) depending on the kind of damage.

Age related retinopathies – Crucial areas of the retina can get affected during the old age. Generally the disease affects the people with age more than 50. Vision loss is generally slow and progressive. In few unfortunate patients there can be sudden acceleration of the disease process as well. FFA and OCT are required to diagnose the extent of the disease. Treatment options include medications, intravitreal injections, lasers, telescopic iol implantation and vitrectomy depending on the extent of injury.

Retinal detachment management – Retinal detachment generally happens in people with minus power glasses. It can also happen secondary to trauma, complicated surgery, other vascular retinopathies, some genetic disorders, pediatric retinopathies etc. This is a surgical problem requiring scleral buckling or vitrectomy with/without gas or silicon oil injection.      

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Orbit & Oculoplastics
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Orbit & Oculoplastics

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Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, and the face.

This Is The Cosmetic And Corrective Reconstructive Surgery Of The Eyelids, The Tear Ducts And The Orbit.

Do I Need To Meet An Oculoplastic Surgeon

Cosmetic Correction:

Baggy Eyelids

Drooping Eyebrows

Wrinkles

Skin Pigmentation

Acne

Watery Eyes

Dry Eyes

Protruding Eyes

Fractures And Facial Trauma

Unsightly Eyes

Drooping Eyelids

Inturned / Everted Eyelids

Inturned Eyelashes

Lid Tumors And Other Masses

Investigations

Dry Eye Screening Test – Done By Applying Special Strips In Both Eyes For 5 Mins. These Strips Measure The Amount Of Tear Production By The Eyes.

Clinical Examination- Full Thorough Examination Of The Patient Is Done.

Diplopia Charting- It Is Done In Patients Who Have Complaints Of Double Vision. It Is Done By Putting On Red Green Goggles And Looking At A Beam Of Light In Different Directions. It Helps To Find The Reason For Double Vision.

Hess Charting- This Test Takes About 5 Mins. It Is Done Using A Special Screen, And Helps To Find Out Which Muscle Is At Fault In Cases With Muscle Paralysis And Double Vision.

Forced Duction Test- It Is Done After Putting Anesthetic Drops In Patients Eyes. Using Forceps Eye Is Moved In Different Directions To Find Out If Movement Of Eye Is Restricted Because Muscle Is Paralysed Or Because It Is Stuck Somewhere In Patients With Restricted Movements Of Eyes And Double Vision After Trauma To The Eye.

Exophthalmometer- It Is A Special Instrument That Is Used In Patients With Protruding Or Prominent Eyes, Eg. Thyroid Patients. Procedure Takes About 2 Mins, And Tells Us If The Eyes Are Actually Protruding Or Is It Normal.

Autoperimetry- This Is A Special Procedure Which Takes About 15 Mins, And Is Done Using A Machine Which Flashes Light And Patient Has To Click A Button If He Sees Light. It Tests The Field Of Vision Of Patients Eye.

Ptosis Evaluation – It Is Done In Patients With Drooping Eyelids. A Thorough Examination Is Done Using A Series 

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Squint & Pediatric Ophthalmology
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What Should You Look For In Your Child

Take A Good Look At Your Child While He/She Is Playing On Watching A Book/Tv And Note If Any Of The Follwing Are Present.

Squeezing His/Her Eyes While Looking At Book/Tv/Toys.

Tilting The Head While Talking, Walking/ Playing.

Going To Close To The Book Or Tv.

Recurrent Eye Pains, Headaches.

Avoids Reading, Colouring Most Of The Time.

Has Bad Handwriting At School.

Eyes Turning Inwards/Outwards.

Difficulty In Seeing In Sunlight, Bright Light On The Evening.

Itching, Watering.

If Any Of The Above Are Present Then You Should Suspect The Chld To Have A Possibility Of Eye Problem. The Problem Could Be Either Glasses Or Squinting Of The Eyes.These Are Easily Treated And A Proper Screening Of The Child Having Any Of The Above Complaints Is Needed To Rule Out Any Other Causes As Well.

Should All Children Should Be Screened

All Children Should Be Seen By An Eye Doctor For The First Time At 3-4 Years Of Age .However If Any Of The Following Are Present Then The Child Should Be Brought To The Eye Doctor At The Earliest:

One On Both Parents Wearing Glasses

History Of Consanguity(Marraige Among Cousins) In Family

Premature Delivery

Birth Weight Less Than 1.5 Kgs.

History Of Any Congenital Defects Like Heart, Kidney Etc.

History Of Febrile Fits Or Any Convulsion.

History Of Admission In The Icu- Incubation/ Ventilation Given To Child.

Behavioural Disorders Or Any Developmental Delay In The Child.

History Of Colour Blindness And Retinal Disease In Family.

Why Should An Eye Doctor See A Child

Early Detection Of Eye Sight Problem Gives Rise To Bettter Vision Development.

Good Vision Correction Causes Good Performance At School And Home.

Squinting Of Eye If Diagnosed Early Can Be Treated With Exercises And Glasses In Some Cases.

It Is Possible To Give The Child Good Binocular(Coordinated) Development Of Eyes.

Other Behaviouaral, Social Problems If Present In The Child Will Also Benifit In Their Treatment.

When Is The Best Time To Bring The Child

If The Child Has A Problem Then Anytime Is A Good Time To Visit The Eye Doctor However Specific Visits Can Be Planned As Follows

A Preterm Infacts/Low Birth At Infant At 4 Weeks After Birth.

A Normal Baby At 3 To 3½ Years Of Age For A Preschool Eye Check.

Services Offered

Comprehensive Preschool Check Up

Watery Eye Evaluation

Rop Screening

Squint Clinic

Glasses Prescription

Lazy Eye Screening

Visual Disorders Management

Screening For Special Children

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Uvea
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Uvea

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Uveitis

Inflammation Of Uveal Tissue Is Uveitis. This Can Be Infective, Inflammatory Or Autoimmune. This Can Be Iritis, Iridocyclitis, Pars Planitis, Panuveitis, Retinitis Or Choroiditis. Sometimes It Is Associated With Systemic Conditions Like Joint Or Skin Disorders .Uveitis Usually Presents With Eye Pain, Redness And Photophobia. In Severe Stages Visual Loss Can Occur. Complete Systemic Work Up Is Required In Many Patients To Detect The Underlying Pathology.

Uveal Tumours

Tumours Can Occur In The Uveal Tissue. This Can Appear As Mass Lesion, Recurrent Uveitis Or Inflammation. Imaging Is Done To Localize The Lesion And The Treatment Is Given Accordingly.

Foreign Body

Trauma Can Present With Foreign Body In The Uveal Tissue. Special Investigations Like Ultrasound Biomicroscopy Or Anterior Segment Oct May Be Required For Localization.

Cyst

Uveal Cyst Is Also Seen In Clinical Practice. Imaging Like Ubm Or Oct Is Done And Cyst Removal Is Performed After Investigations.

Investigations

Baseline: This Includes The Routine Tests Like Blood Hemogram And Urine Tests Which Shows The Current Systemic Condition Of The Patient. There Are Some Tests Like Rheumatoid Factor Or Mantoux Test Which Is Also A Baseline Test For All Uveitis Patients.

Special Tests: Serological Evaluation For Infective Etiology (Igg And Igm) Is Done. Autoantibodies For Autoimmune Diseases And Polymerase Chain Reaction (Pcr) For Bacterial Or Viral Pathology Are Also Tested.

Diagnostic Procedures

In Some Cases, Diagnostic Tap Of Aqueous Fluid Or Vitreous Is Taken For Confirmation.

Ocular Examniations      

Complete Eye Examination Is Done For All Patients With Uveitis. Imaging Like Ultrasound Biomicroscopy Gives The Exact Location Of Lesion And Severity. Anterior Segment Oct Is Also Useful In Some Cases.

Treatment Options

Medical Treatment: Medical Management Is Decided Depending Upon The Severity Of The Condition.

Surgical Treatment: Vitrectomy, Membranectomy, Intravitreal Drug Administration, Complicated Cataract Extraction And Vitreous Biopsy Are The Common Surgical Interventions Done.

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Dr Agarwals Eye Hospital27, Taramani Link Road 150feet road oop togrp next to njc jqweellers belacharry, Baby Nagaer Bus Stop, belacharry,
Chennai-600042, Tamil Nadu, India

Sushila (Trainer)

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