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The Best Eye Clinic in Kharghar Navi MumbaiUtsav Eye Clinic is a super-specialty Eye Care Centre established to provide internationally approved Eye Care services to your doorsteps. Whether you need to get your first eye exam or a highly specialized, sophisticated eye surgery done, you can be assured of the very best at Utsav Eye Clinic by our internationally trained Eye Specialist Doctor.Utsav Eye Clinic boasts of internationally trained super specialized eye doctors and modern sophisticated instrumentation to provide the best, safest and most efficient eye care for you. Our Doctors are among the best in the country for Squint Treatment, Children Eye Care, Nystagmus Treatment and Neuro-Ophthalmology Services.Our caring and knowledgeable staff are on hand to ensure that you have a pleasant and memorable visit to our Eye Hospital. We offer a personalized service wherin our doctors develop a continuing and cordial relationship with our patients. We serve the whole of Mumbai and Navi Mumbai, but particularly the nodes of Kharghar, Belapur, Nerul, Vashi, Kamothe and Panvel.We are conveniently located in the calm and peaceful Kharghar node which is well connected to other suburbs of Mumbai and Navi Mumbai. Contact Us or fill in the adjoining form to take an appointment. Do remember to visit our Gallery to see Our Success Stories.+ Read More

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Amblyopia (Lazy Eyes)
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Amblyopia (Lazy Eyes)

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Lazy eye, or amblyopia, is the loss or lack of development of central vision in one eye that is unrelated to any eye health problem and is not correctable with lenses. Although there is no date regarding the prevalance of lazy eyes in Navi mumbai, studies done elsewhere show that it  affects about 3% of the population. The eye is anatomically normal, but visual acuity is reduced even with glasses. Amblyopia is the commonest cause of vision problems in children, and develops sometime between birth and 8 or 9 years of age, the critical period of time when the visual system develops and matures. Amblyopia causes more visual loss in the age group under 40 than all the injuries and diseases combined.

Babies are born with poor vision and would only just be able to see the largest letter on the vision chart if we could test them as we test adults in an eye clinic. As the brain and eye and their inter-connections mature, vision gradually improves to adult level at around 6 or 7 years of age.

For the eyesight to develop fully, the image should be clearly seen by each eye and both eyes should be looking directly at the object. If either or both do not occur, then the eye will become amblyopic or “lazy”.

In children with a squint, the squinting eye is found to have poor vision – it is ‘lazy’ or amblyopic. This means that the brain is not learning to use the message from this eye and the eye/brain interconnections are not developing normally.

The vision the child has at the age of 7 or 8 years of age is the vision they will keep throughout life. Treatment of lazy after this age is unlikely to be successful. This is why it is so important that children’s eyes are checked soon after birth by the paediatrician, and again before they enter school (at the age of 3 years).

What is the treatment of a lazy eye?

The child is checked for glasses and these are prescribed if necessary. The glasses may not only help the vision but may also fully or partially correct the squint in some types of squint.

If glasses do not improve the vision in the lazy eye, then the treatment for the lazy eye involves patching the good eye or making the good eye blurred with eye drops. The idea is to force the lazy eye to see. This treatment aims to improve the vision in the lazy eye: it will not help the squint. Treating a lazy eye is always done before any squint surgery.

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Blocked Tear Ducts
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Blocked Tear Ducts

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A blocked tear duct is a fairly common and usually temporary problem that occurs in infants when the nasolacrimal duct—the passage that lets tears drain from the eye into the nasal cavity—becomes obstructed or is closed off.

Although the exact incidence of blocked tear ducts in Navi Mumbai is unknown, in general it occurs in approximately 5% of normal newborn infants. The blockage occurs most commonly at the distal end of the duct.  The blockage can affect just one eye or both.  The rate of spontaneous resolution is estimated to be 90% within the first year of life.

What are the symptoms of blocked tear ducts?

When an infant has a blocked tear duct, the eye looks wet or tears may spill over onto the cheek, even when he or she is not crying. There is often mucoid material, a mucus-like substance, on the edges of the eyelid. The skin surrounding the eyes is sometimes chapped. When pressure is applied over the inner corner of the eyes, there is a reflux of mucoid material from the punctum.

How is it treated? 

Since the majority of cases resolve without treatment, most doctors suggest waiting to see if the duct opens on its own. There is spontaneous remission in 95 percent of cases by age of 9 months.

In the meantime, pediatric ophthalmologists typically recommend massaging over the lacrimal area to open up the obstruction in the tear duct, and may also prescribe an antibiotic eye drop to help reduce the discharge from the eye.

If the condition doesn’t resolve itself, a quick procedure, called probing is performed. A small thin metal instrument is passed through the nasolacrimal duct to open the membrane. This procedure cures more than 90 percent of the cases that haven’t resolved on their own.

In the rare situation that the probing doesn’t help, other measures, such as the placement of silicon tubes (intubation), using a balloon instrument to stretch the opening (ballon dilatation), or surgery (DCR) to create a new passage between the tear sac and the nose, can be done. The pediatric ophthalmologist would be able to guide you about the best procedure for your child.

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Retinopathy of Prematurity (ROP)
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Retinopathy of Prematuriy is a disorder of the blood vessels of the retina (the light sensitive part of the eye) that occurs in some premature babies.  Although the exact incidence and prevalance of Retinopathy of Prematurity in Navi Mumbai is unknown, it is considered to be one of the leading causes of blindness in children.

Which infants are at risk for ROP?

In general, ROP is a disease affecting the youngest, smallest and sickest infants.  Typically, this includes infants born earlier than 34 weeks of gestation (“gestational age” means the amount of time since the baby was conceived) and under 2000 grams (about 4.4 pounds).  The smaller and more premature the infant, the greater the risk. Other possible risk factors for ROP include:

  • anemia
  • infection
  • transfusions
  • breathing difficulties
  • heart disease
  • ethnicity

How does an infant get ROP?

It takes a full term (40 week) pregnancy for the blood vessels which will supply oxygen to the retina to fully develop.  The blood supply to the retina starts at the back of the eye at 16 weeks of gestation.  The vessels gradually grow over the surface of the retina to reach the front edge at about the time of birth.

When an infant is born early this process stalls.  There are a variety of reasons this occurs, but the most important ones in babies born today are the degree of prematurity and birth weight.

Once the blood vessels stop growing over the surface of the retina, a patch of retina ends up starved for oxygen.  At this point:  either the blood vessels pick up where they left off and finish the growing normally, or ROP begins to develop.

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Laser Cataract Surgery
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Laser Cataract Surgery

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The lens is a clear part of the eye that helps to focus light, or an image, on the retina. The retina is the light-sensitive tissue at the back of the eye. In a normal eye, light passes through the transparent lens to the retina. Once it reaches the retina, light is changed into nerve signals that are sent to the brain.

The lens must be clear for the retina to receive a sharp image. If the lens is cloudy from a cataract, the image you see will be blurred.

What is a cataract?

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 60, more than half of all Indians  have a cataract which requires surgery. A cataract can occur in either or both eyes. It cannot spread from one eye to the other.

What causes cataracts?

The lens lies behind the iris and the pupil. It works much like a camera lens. It focuses light onto the retina at the back of the eye, where an image is recorded. The lens also adjusts the eye’s focus, letting us see things clearly both up close and far away. The lens is made of mostly water and protein. The protein is arranged in a precise way that keeps the lens clear and lets light pass through it.

But as we age, some of the protein may clump together and start to cloud a small area of the lens. This is a cataract. Over time, the cataract may grow larger and cloud more of the lens, making it harder to see.

Researchers suspect that there are several causes of cataract, such as smoking and diabetes. Or, it may be that the protein in the lens just changes from the wear and tear it takes over the years.

What are the symptoms of a cataract?

The most common symptoms of a cataract are:

  • Cloudy or blurry vision.
  • Colors seem faded.
  • Glare. Headlights, lamps, or sunlight may appear too bright. A halo may appear around lights. This is more common with a particular type of cataract where the opacity is close to the posterior surface of the lens (posterior sub-capsular cataract).
  • Poor night vision.
  • Double vision or multiple images in one eye. (This symptom may clear as the cataract gets larger.)
  • Frequent prescription changes in your eyeglasses or contact lenses.
  • These symptoms also can be a sign of other eye problems. If you have any of these symptoms, check with your Eye Specialist.

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Strabismus (Squint) Surgery
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There are six different muscles attached to each eyeball and they tend to work in pairs. During the Strabismus operation it is normal that for a pair of muscles one is weakened and the other strengthened to make the eye straighter. It may be necessary to operate on both eyes to balance them, even if the squint is only in one eye.

In some cases adjustable sutures will be used, so that shortly after the operation any minor adjustments can be made to achieve the best possible position of the eye. This is known to improve the success rate of the surgery in selected cases. At Utsav Eye Clinic we use the latest fornix incision technique in all strabismus surgeries. This leads to  faster healing, more comfort in the immediate post-operative period and better cosmetic outcome. Utsav Eye Clinic is known for having a very high volume of Squint surgery in Navi Mumbai. We are one of the few centres which uses the latest techniques of adjustable sutures and fornix incision techniques in squint surgery in Navi Mumbai.

To learn more about the benefits of Adjustable Squint Surgery, click here….

Benefits of Strabismus correction surgery

  • To enable the eyes to work together (Binocular vision)
  • To relieve diplopia (double vision)
  • To improve appearance

Treatment before the surgery

You may be asked to instill antibiotic eyedrops for a day or two preceding the operation to minimise the chances of infection. If the surgery is planned to be done under general anesthesia, you may be asked not to take anything orally for 4-6 hours before the surgery.

Anesthesia

Squint surgery is usually carried out under a general anaesthetic in children and local anaesthesia in Adults and is normally a Day care procedure. That means you are discharged from the hospital on the same day of the surgery.

What happens during the surgery?

Surgery involves moving the muscles attached to the outside of the eye to a new position. During the operation, the surgeon will detach one part of the muscle that is connected to your  eye and will either move it backwards to weaken the pulling effect or shorten it to increase the pulling effect. Once the correction has been made, the muscles will be sewn back into place using dissolvable stitches.

After-Care following the surgery

Following eye surgery, a pad may be put over the affected eye, which will usually be removed on the same or the next day. There is no need to wear a patch or bandage at home and you can return to daily activities, such as reading, as soon as you feel able to. The aim is to get the eyes working normally as quickly as possible. You will be required to instill eyedrops to reduce the swelling for a period of about 4 weeks.

You may wear your own glasses as soon as the eye pad is removed. Patients who do not need corrective glasses may wear protective goggles.

Your child should be able to return to school a couple of days after surgery. If you have had surgery, you should also be able to return to work after about 3-4 days of the surgery.

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Paediatric Cataract surgery
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To see more videos on Paediatric Ophthalmology surgeries, click here...

Paediatric Cataract Surgery is a complex issue best left to surgeons familiar with its long-term complications and lengthy follow-up. Treatment is often difficult and tedious and requires a dedicated team effort.

Our team at UTSAV EYE CLINIC offers the expertise, child-modified equipment and advanced technology to diagnose and treat cataracts in even our tiniest patients. It is one of the best centres for Paediatric Cataract Surgery in Navi Mumbai, India.

Our Pediatric Ophthalmologists:

  • are very experienced in treating kids with cataracts, and have removed cataracts in newborn babies
  • have access to specialized tools and equipment necessary to operate these difficult and challenging cases
  • can predict the growth of your child’s eye with customized software that lets us choose the best lens to serve her through adulthood
  • use the latest refined, delicate lens implantation techniques
  • have successfully implanted intraocular lenses in babies as young as six month old

If my child is born with a cataract, when should it be removed?

If your child is born with a dense cataract, we like to remove within first two months, and definitely by four months. In cases of cataract in both eyes, It is important to keep the time interval between the surgeries performed on the two eyes to a minimum. In general,  the sooner we take the cataract out, the better the vision your child will be able to develop afterwards.

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Treatment of Nystagmus
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Treatment of Nystagmus

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What to expect at the doctor’s clinic?

Your doctor will take a careful history and perform a thorough physical examination, focusing on the nervous system and inner ear. The doctor may ask you to wear a pair of goggles that magnify your eyes for part of the examination. Utsav Eye Clinic is one of the few centre that specialises in medical and surgical treatment of Nystagmus in Navi Mumbai.

If you or your child have nystagmus due to a medical condition, these eye movements will depend on the cause.

Questions asked in a medical history may cover the following areas:

  • When were the movements first noticed?
  • How often does they occur?
  • Has this ever happened before?
  • Is the problem getting better, worse, or staying the same?
  • Are there side-to-side eye movements?
  • Are there up-and-down eye movements?
  • What medications are you taking?
  • What other symptoms do you have?

How is nystagmus treated?

Glasses and contact lenses should be prescribed to correct any vision deficits. Amblyopia should be treated agressively in an attempt to improve vision and dampen the nystagmus. If the adult-onset acquired nystagmus is caused by a neurological problem often times it can be treated with certain drugs, however, it really depends on the cause of the nystagmus. Some research suggests that encouraging children with nystagmus, during the early years, to use their eyes while playing with games and toys can actually help improve vision and dampen the nystagmus. Some selected patients with nystagmus are benefitted by eye muscle surgery.

Can my nystagmus be corrected by surgery?

Surgery for nystagmus can be indicated in several clinical situations.  Before considering surgery, your doctor will rule out pathologic causes for nystagmus.  Eye muscle surgery in patients having nystagmus and a consistent abnormal head posture works by relocating the position of decreased nystagmus (optimal vision) to the primary gaze position. In some patients, the nystagmus improves just by surgically aligning the eyes, which allows for binocular vision, hence reducing latent nystagmus. More recently tenotomy and re-attachment of the four recti muscles has been described to improve nystagmus.

What benefits would I get from the nystagmus surgery?

If you need to adapt a head posture to read fine print, eye muscle surgery can improve or totally eliminate the abnormal head posture. Surgery for nystagmus in selected patients can decrease nystagmus amplitude, and possibly improve visual acuity.  Other visual functions (including recognition time) can also show improvement. It is important to discuss these procedures with a pediatric ophthalmologist after the disorder has been accurately diagnosed.

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Treatment for CNLDO
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Treatment for CNLDO

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Tear ducts are the tubes that excess tears drain away through. If an infant has watering eyes, treatment of blocked tear ducts becomes necessary. Left untreated, the infection could spread to the child’s eye socket. In general, the earlier the treatment of Blocked tear ducts is started more are the chances of success in children.

 If your child’s eyes are sticky or if there is a lump below his or her eye, treatment is usually recommended to avoid the eye from becoming infected. If the symptoms are particularly severe and the watering eyes are interfering with your child’s vision for reading, writing and sports, treatment will be required.

If you have an infection in your tear sac (where excess tears from your eyes drain into), it will need to be treated with surgery

Surgery

If the tear duct does not open, it may be possible for your baby to have a procedure where a probe is used to open their tear duct (Probing). This will be carried out under general anaesthesia. It is a very safe, effective and short procedure that can easily open up the blocked ducts.

The success rate of probing done for the first time is very good (90-95%), provided it is done at the correct age (around 1 year of age). In case the symptoms do not resolve completely even after probing, a second probing may be required. In some older children, probing along with intubation (placing a silicon tube in the tear ducts to keep them open) may be done to increase the chances of success.

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