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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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Paediatric Cataract
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Paediatric Cataract

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I did not know that even children can get cataracts?!!

It is indeed uncommon for a baby to get a cataract, but it does happen. The difference is that in kids, the lens clouds over because it didn’t form properly. In adults, a normal lens just gets old and hard and yellow and finally clouds over. If you think about it, and especially if you learn how the eye develops before birth, it’s amazing that anyone ever ends up with a crystal clear lens in each eye. The process of lens formation is an intricate and miraculous ballet of cells that takes place early in the third to fourth month of pregnancy. Anything going wrong during this period of lens formation can lead the lens to become opaque.

Why did my child get cataract?

Congenital (present at birth) cataracts occur when the lens didn’t form properly. Acquired cataracts are caused by abnormal interactions among the proteins that make up the lens. Over time, these abnormal interactions cause clumping, specks, opacities and/or cloudy areas to form.

About 25 percent of the time, congenital cataracts have a genetic cause, and may accompany a metabolic, hormonal or chromosomal abnormality (e.g., Down syndrome).  Another 25 percent of the time, cataracts are hereditary, which means that the child’s mom or dad also had a cataract in childhood.

Acquired cataracts can be caused by trauma to the eye, use of steroids over a long period, diabetes or other metabolic diseases, long standing inflammation of the eyes (uveitis) or radiation therapy after cancer.

Often no reason can be found for the development of the cataracts.

Is there a way other than the surgery to correct the cataracts?

Every case is different, and our Paediatric Ophthalmologist comes up with creative solutions to fit each child. Sometimes, if the cataract represents a tiny dot on the lens, the doctor might recommend placing a patch over the unaffected or strong eye, to help strengthen vision in the affected eye, maybe with glasses if the focus is off. In other cases we use eye drops or contact lenses to dilate the pupil enough to get more light in but still keep the eye in focus. Either way, your child will be routinely monitored, to be sure that vision isn’t slipping. Only if the opacity is the lens is significant enough to cause a reduction in the vision, surgery would be required.

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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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Congenital Ptosis
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Congenital Ptosis

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What is ptosis?

Ptosis is a drooping of the upper eyelid. The lid may droop only slightly, or it may cover the pupil entirely. In some cases, ptosis can restrict and even block normal vision. It can be present in children, as well as adults, and is usually treated with surgery. Our doctors at Utsav Eye Clinic are fellowship trained and experienced for treatment of drooping of lids in Navi Mumbai.

Ptosis can: 

  • affect one or both eyelids
  • be inherited
  • be present at birth
  • occur later in life.

Ptosis which is present at birth is called congenital ptosis. If a child is born with moderate to severe ptosis, treatment is necessary to allow for normal vision development. If it is not corrected, a condition called amblyopia (lazy eyes) may develop. If left untreated, amblyopia can lead to permanently poor vision.

Ptosis in children

Congenital ptosis is often caused by poor development of the muscle which lifts the eyelid, called the levator. Although it is usually an isolated problem, a child born with ptosis may also have:

  • eye movement abnormalities
  • muscular diseases
  • lid tumors
  • neurological disorders
  • refractive errors.

Congenital ptosis usually does not improve with time.

What are the signs and symptoms?

The most obvious sign of ptosis in children is the drooping lid itself. Children with ptosis often tip their heads back into a chin-up position to see underneath their eyelids, or they may raise their eyebrows in an attempt to lift up the lids. Over many years, abnormal head positions may cause deformities in the head and neck.

What problems can result from ptosis in children?

The most serious problem associated with childhood ptosis is amblyopia (“lazy eye”). Amblyopia is poor vision in an eye that did not develop normal sight during early childhood. This can occur if the lid is drooping severely enough to block the child’s vision. More frequently, it can occur because ptosis tends to change the optics of the eye, causing astigmatism. Finally, ptosis can hide misaligned or crossed eyes, which can also cause amblyopia.

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Congenital Glaucoma
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Congenital Glaucoma

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CONGENITAL glaucoma, or INFANTILE glaucoma, affects about 1 in 10,000 live births. It may occur without other findings (primary congenital glaucoma), associated with other syndromes, or after injury, congenital cataract extraction, or inflammation. Primary congenital glaucoma is due to failure of development or abnormal development of the trabecular meshwork. Most cases of primary congenital glaucoma are sporadic in occurrence. In the approximately 10% in which a hereditary pattern is evident, it is generally believed to be autosomal recessive in most cases. The exact incidence of congenital glaucoma in Navi Mumbai India is unknown.

How is congenital glaucoma detected?

Congenital glaucoma is usually detected by the parents. In infancy, the sclera of the eye is easily distensible, so that the eye enlarges when intraocular pressure is increased.

Infants with congenital glaucoma present with photophobia (shyness to light), epiphora (tearing) and blepharospasm (blinking or squeezing the eyelids). The principal clinical sign is an enlarged cornea, often bilaterally. As the disorder advances, the cornea becomes edematous and appears cloudy. The infant may become irritable to the point of burying its head in a pillow to avoid the pain caused by bright lights.The appearance of an enlarged cloudy cornea in an infant essentially makes the diagnosis of congenital glaucoma and is obvious to casual penlight examination. Prompt referral to a Paediatric Ophthalmologist for intervention can make the difference between sight and permanent blindness.

What is the treatment for someone with congenital glaucoma?

Treatment is surgical and often successful, although more than one operation may be necessary. The aim of pediatric glaucoma surgery is to reduce IOP either by increasing the outflow of fluid from the eye or decrease the production of fluid within the eye. One operation for pediatric glaucoma is goniotomy. Its rate of success is associated with the age of the child at the time of diagnosis, the type and severity of the glaucoma, and the surgery technique. Other surgical options are trabeculectomy and glaucoma drainage tubes. Eye doctors at Utsav Eye Clinic, Kharghar are fellowship trained and well experienced in the treatment of congenital glaucoma in Navi Mumbai.

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Double vision
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Double vision

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If you see two of whatever you are looking at, you may have a condition known as diplopia, also referred to as double vision.

It needs to be differentiated from blurred vision. Double and blurred vision are often thought to be the same, but they are not. In blurred vision, a single image seen by one eye appears unclear. In double vision, two images are seen at the same time (one from each eye), creating understandable confusion for anyone who has it.

What causes diplopia?

Diplopia may result from failure of both eyes to point at the object being viewed, a condition referred to as ocular misalignment. In normal vision, both eyes look at the same object. The images seen by the two eyes are fused into a single picture by the brain. If the eyes do not point at the same object, the image seen by each eye is different and cannot be fused. This results in double vision.

Can ignoring diplopia be dangerous?

Yes, new onset squint and diplopia may sometime be due to dangerous conditions like raised pressure in the brain, brain tumors and aneurysms. If ignored it can be disastrous hence diplopia requires immediate attention of your doctor, preferably a neuro- ophthalmologist.

What is the treatment of diplopia?

Once serious neurological conditions are ruled out, treatment of diplopia consists of eye exercises, prism glasses surgical straightening of the eye or a combination of all modalities. Therapy is aimed at re-aligning the misaligned eye where possible without surgery and re-stimulating the part of the visual pathway to the brain which is not working correctly.

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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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