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Raghu Kamal Hospital

Mumbai, Maharashtra
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Raghu Kamal Hospital - Nursing Homes / Clinics / Hospitals of dry eyes treatment service, cataract surgery treatmen service & glaucoma treatment service in Mumbai, Maharashtra.

Nature of Business

Nursing Homes / Clinics / Hospitals

Dry Eyes Treatment Service
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Dry Eyes, is a condition many people confront. It is caused when the tears produced by the eyes are insufficient in moisture, lubrication, and other features that help keep the eyes remain protected. Dry eyes may also be stimulated by environmental aspects such as weather that irritate the eye and dry up tears. It is a common ocular condition, which usually stems from the protective tear film over the surface of the eye evaporating more quickly.

Symptoms Of Dry Eyes

    Burning sensation in the eyes
    Scratchiness or itchiness in the eye
    Stingy mucus like secretion
    Feeling something in the eye
    Decreased vision, usually mild to moderate
    Tiredness of eyes
    Light sensitivity
    Contact lens intolerance
    Blurred vision

Causes Of Dry Eyes

What causes this to happen is a deficiency in the lipid or oil layer of the tear film, which in most cases is caused by Meibomian Gland Dysfunction (MGD).

    Aging Eyes - The tear film peaks at the age of 20, after which it deteriorates.  As people age increasing meibomian gland dysfunction can cause the tears produced to typically have less oil in them.  So it is quite common for the aging population to have evaporative dry eye syndrome.
    Environmental Factors - Windy or desert-like climates worsen dry eye symptoms. Air conditioning in the summer and heating in the winter reduce the humidity. This environmental problem is especially noticeable upon awakening in the morning or when spending time in an airplane cabin. Work environments which are particularly dusty or windy can also worsen dry eye symptoms in people who have dry eye syndrome.
    Medications Antihistamines and decongestants are commonly associated with dry eye syndrome. Other medications also associated are some pain relievers, tranquilizers, oral contraceptives, beta blockers, diuretics, and anti-depressants. But in reality, almost any medication can be associated with dry eye syndrome.
    Contact Lens Use - Soft contact lenses are plastic sponges which tend to absorb tears. Any tear film insufficiency will be worsened as the lens competes with the surface of the eye for whatever moisture is available. Meanwhile, rigid contact lenses need adequate tear film to properly float on the surface of the eye. In either case, contact lens use in dry eye syndrome will result in inappropriate contact between the lens and the ocular surface with a resulting increase in contact lens-related complications.
    Computer Use - Sitting in front of a computer, as well as many other activities involving heightened levels of concentration, can be associated with lower blinking rates. With less blinking there is more evaporation, which certainly can worsen dry eye symptoms.

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Cataract Surgery Treatmen Service
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A cataract is a clouding of the lens of the eye. The lens of the eye is normally clear. It act like the lens on a camera, focusing light as it passes the back of the eye.

Cataract Symptoms -

  • Adult cataract develop slowly and painlessly. Vision in the affected eye or eyes slowly gets worse.
  • Cloudy, Fuzzy, foggy, or filmy vision.
  • Mild clouding of the lens often occurs after age 60, but it may not cause any vision
  • Problems.
  • Being sensitive to glare
  • Difficulty seeing at night or in dim light
  • Double vision
  • Loss of color intensity
  • Problems seeing shapes against a background or the difference between shades Of color
  • Seeing halos around light
  • Frequent changes in eye glass prescription

Signs and Tests:-
A standard eye exam and slit-lamp examination are used to diagnose cataract. Other diagnostic test are rarely needed. Except to rule out other possible causes of poor vision.

The Lenstar is a remarkably easy to use all-in-one IOL power calculation tool that delivers exceptionally accurate axial length, anterior chamber depth and lens thickness by optical biometry. At the same time, its dual zone autokeratometry feature is precise and uniformly consistent. The Lenstar is an excellent choice for surgeons migrating towards torics and other premium channel IOLs where highly accurate outcomes are critical for success.

Cataract Treatment -

Surgery is the only treatment for cataract. We do painless, sutureless and topical anaesthesia surgeries

Phacoemulsification: A small incision is made on the side of the cornea, the clear, dome-shaped surface that covers the front of the eye. Your doctor inserts a tiny probe into the eye. This device emits ultrasound waves that soften and break up the lens so that it can be removed by suction. Most cataract surgery today is done by phacoemulsification.

 

Your lens, which helps you focus, is removed during the operation and is replaced with an artificial lens, the intraocular lens implant.

There is a choice of different strengths (powers) of lenses which, just like different strengths of glasses lenses, affect how clearly you see when looking into the distance or when looking at near things such as reading a book.

During your initial assessment, the cataract team will discuss with you whether you want to have better focus for close vision or for distance vision.
Understanding Intraocular Lens Implants -

    Monofocal Lens:

    A Monofocal Lens Implant is the most basic type of Lens Implant used to correct vision after Cataract Surgery. For approximately the first thirty years of Lens Implant Surgery, all Lens Implants were of a type called a Monofocal Lens Implant. A Monofocal Lens Implant can provide very good vision after Cataract Surgery-but only at one set distance-usually for seeing things at a distance such as for driving or going to the movies.

 

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Glaucoma Treatment Service
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 Glaucoma refers to a group of eye conditions that lead to damage to the optic nerve. This nerve carries visual information from the eye to the brain.

In most cases, damage to the optic nerve is due to increased pressure in the eye, also known as intraocular pressure (IOP).
Type of Glaucoma -
Open-angle glaucoma; Chronic glaucoma; Chronic open-angle glaucoma; Primary open-angle glaucoma; Closed-angle glaucoma; Narrow-angle glaucoma; Angle-closure glaucoma; Acute glaucoma; Secondary glaucoma; Congenital glaucoma

 

In most cases, damage to the optic nerve is due to increased pressure in the eye, also known as intraocular pressure (IOP).
Symptoms
OPEN-ANGLE GLAUCOMA

    Most people have no symptoms
    Once vision loss occurs, the damage is already severe
    Advanced glaucoma can lead to blindness

ANGLE-CLOSURE GLAUCOMA

    Sudden, severe pain in one eye
    Decreased or cloudy vision, often called "steamy" vision
    Nausea and vomiting
    Rainbow-like halos around lights
    Red eye
    Eye feels swollen

CONGENITAL GLAUCOMA

    Cloudiness of the front of the eye

    Enlargement of one eye or both eyes

Tests

    Tonometry
    Slit lamp examination
    Visual acuity
    Visual field (Perimetry)
    Gonioscopy
    OCT (Optive nerve)
    Pachymetry (corneal thickness)

Treatment

    Eye Drops

    The most common treatments for glaucoma are eye drops and, rarely, pills. Doctors use a number of different categories of eye drops to treat glaucoma. They either decrease the amount of fluid (aqueous humor) in the eye or improve its outward flow, and some do both. Sometimes doctors will prescribe a combination of eye drops.
    Surgical

    When operative surgery is needed to treat glaucoma, your ophthalmologist will use a microscope and specialized instruments to create a new bypass drainage channel for the eye fluid to leave the eye. The new channel helps to lower the eye pressure. Surgery will be recommended only if your ophthalmologist feels the benefit of a lower eye pressure achieved with an operation outweighs possible complications and/or further progression of optic nerve damage.
    Laser

    Irridotomy is the laser procedure performed for eyes with narrow angle, eyes with risk of angle closure glaucoma. Another alternative name for this procedure is laser peripheral iridotomy, iridectomy and in short LPI or PI.

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Pediatric Ophthalmology Treatment Service
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Children experience a variety of eye problems, many quite distinct from adult eye diseases. Pediatric ophthalmologists are specially trained to manage the following disorders:

    Infections (conjunctivitis).
    Strabismusis a misalignment of the eyes that affects 2-4% of the population; it is often associated with amblyopia. The inward turning gaze commonly referred to as "crossed-eyes" is an example of strabismus. The term strabismus applies to other types of misalignments, including an upward, downward, or outward turning eye.
    Amblyopia (aka lazy eye) occurs when the vision of one eye is significantly better than the other eye, and the brain begins to rely on the better eye and ignore the weaker one. Amblyopia affects 4% of the population and is clinically diagnosed when the refractive error of one eye is more than 1.5 diopters different than the other eye. The management of amblyopia involves correcting of significant refractive errors and using techniques that encourage the brain to pay attention to the weaker eye such as patching the stronger eye.(occlusion therapy)
    Blocked tear ducts : Congenital malformations affecting the tear drainage duct system can be evaluated and possibly surgically corrected by a pediatric ophthalmologist.
    Ptosis : Drooping of the upper lid. Surgery is requierd to correct if significant or for cosmetic appearance.


  • Retinopathy of prematurity : The pathogenesis of retinopathy of prematurity is an incomplete formation of the eyeball, the retina and its vascular system
  • Nystagmus : It refers to a condition of involuntary eye movements. The eye muscles that control eye movement receive a pulsating stimulus to contract, instead of a quiet steady tone. Patients with this affliction will adopt an unusual head, or eye position to minimize their unwanted appearance. It can be present at birth or acquired anytime throughout life due to neurologic or ocular disease. 
  • Visual inattention : Refractive errors such as myopia (near-sightedness) and astigmatism can often be corrected with prescriptions for glasses or contacts. Accommodative insufficiency or Convergence insufficiency and asthenopia
  • Pediatric cataracts
  • Pediatric glaucoma
  • Abnormal vision development
  • Genetic disorders often cause eye problems for affected children. Since approximately 30% of genetic syndromes affect the eyes, examination by a pediatric ophthalmologist can help with the diagnosis of genetic conditions. Many pediatric ophthalmologists participate with multi-disciplinary medical teams that treat children with genetic syndromes.

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Conjunctivitis Treatment Service
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TreatmentPediatric Ophthalmology

Conjunctivitis is an infection or inflammation of the conjunctiva, the thin, transparent membrane covering the surface of the inner eyelid and the front of the eye. The most common forms are bacterial and viral.

  • Bacterial conjunctivitis
  • Typically causes swelling of the eyelid and a yellowish discharge. Sometimes it causes itching and/or matting of the eyelids.

  • Viral conjunctivitis
  • also known as EKC or epidemic kerato-conjunctivitis, is very contagious and can be easily transmitted by rubbing the eye and then infecting household items such as towels or handkerchiefs. It is common for entire families to become infected.

    Symptoms of conjunctivitis:

        Red, watery eyes
        Inflamed eye lids
        Blurred vision and a sandy or scratchy feeling in the eyes
        Pus-like or watery discharge around the eyelids
        Matting of the eyelids
        Swelling
        How can conjunctivitis be prevented?

        If you or someone in your household has contracted conjunctivitis, follow these steps to prevent the spread of the infection:
            Do not touch the infected eye. If you do, the infection will spread to the other eye
            If you do touch your eyes or face, including when using medicine in your eye(s), wash your hands thoroughly.
            Wash any clothing touched by infected eyes including clothes, towels and pillowcases.
            Do not share make-up. If the infection is caused by bacteria or a virus, you must throw away your used make-up and buy new make-up

    Diagnosing conjunctivitis:

    Your doctor can diagnose the type of conjunctivitis with a careful case history and eye exam.
    Treatment for conjunctivitis:

    Antibiotic drops can ease discomfort and clear up most bacterial infections, normally within just a few days. Sometimes, the inflammation does not respond well to the initial treatment with eye drops. In those cases, additional medication may be prescribed.  Keep all follow-up visits with your doctor: they are very important!   If left untreated, conjunctivitis can create serious complications such as infections in the cornea. There are no effective treatments for some forms of conjunctivitis like viral EKC mentioned above.  In this case your doctor will prescribe a regimen to make you more comfortable, but the viral condition will need time to resolve on its own.

     

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