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Utsav Eye Clinic

Navi Mumbai, Maharashtra

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Utsav Eye Clinic - Retailer of amblyopia (lazy eyes), paediatric cataract & blocked tear ducts in Navi Mumbai, Maharashtra.
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Amblyopia (Lazy Eyes)

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

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

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

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

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

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)

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

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

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
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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Ptosis Surgery

Ptosis Surgery

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Ptosis Surgery
 Best Centre for ptosis surgery in Navi Mumbai

Ptosis is a condition that affects the upper eyelid causing it to droop. Surgery to treat ptosis involves making a small cut in the eyelid and shortening the eyelid muscle (levator resection) or attaching the eyelid to the forehead muscle (sling surgery). Both of these procedures raise the eyelid. At Utsav Eye Clinic, Kharghar, we use the latest technique and the best materials for ptosis surgery in Navi Mumbai.

Preparing for the surgery

For adults, surgery is usually done as a day care procedure in the outpatient department, using a local anaesthetic. If you have a local anaesthetic, you will be awake during the procedure but you won’t feel any pain. If your child has surgery for ptosis, he or she will have a general anaesthetic. This means your child will be asleep during the procedure.

If your child is having a general anaesthetic he or she will be asked to follow fasting instructions. This means not allowing your child to eat or drink, typically for about six hours beforehand. However, it’s important to follow your surgeon’s advice.

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Strabismus

Strabismus

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All information about Squint Eyes by the best Squint Specialist in Navi Mumbai India

Strabismus (sometimes also called as “squint eyes” or “cross eyes”) means misalignment of the eyes. This makes it difficult or impossible for the brain to use the information from the two eyes together normally. Some of the more common forms of strabismus include:

Some children with strabismus (squint eyes) develop amblyopia (lazy eyes). Strabismus can also interfere with normal binocular vision. Utsav Eye Clinic is one of the centers that specializes in  Squint eyes  treatment inNavi mumbai India. Dr. Anand Kumar, Squint Specialist in Navi Mumbai India answers some of the frequently asked questions regarding this condition.

What is binocular vision?

Each of our two eyes sees a slightly different picture of the world. If you have binocular vision, it means your brain can take the two pictures from the two eyes and put them together into a single three-dimensional perception of the world around you. This is a complex skill that is quickly lost when the eyes don’t line up. Without binocular vision, your depth perception may be limited.

One of the main benefits of binocular vision is to be able to judge depth and speed of objects well. Children with poor or no binocular vision can have difficulty with these tasks. This may lead to problems with:

  • Pouring juice into a cup
  • Catching or hitting fast moving balls
  • Walking up or down stairs
  • Judging how quickly a car is approaching while crossing roads

Also, there are certain jobs where good binocular vision is important and necessary. These include flying planes and performing surgical operations.

If you close one eye you can see what loss of binocular vision is like. At arms length try pouring water into a glass or bringing two pencil ends on top of each. It is more difficult than when both eyes are open. This is because your skill in judging depth is poorer.

What causes strabismus?

Strabismus can be caused by eye muscles that are imbalanced and unable to keep the eyes aligned. It can also be caused by focusing problems such as farsightedness. These focusing problems cause the eye to turn in when trying to focus. Research has shown that strabismus runs in families. In adults, strabismus can also be caused by stroke, diabetes, poorly controlled hypertension and brain injury or tumors.

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Treatment of Nystagmus

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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Amblyopia

Amblyopia

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Though modern amblyopia treatments might improve vision in older children and adults, most experts agree that early detection and treatment of lazy eye is preferred for normal visual development and the best visual outcomes from amblyopia treatment.

Experts recommends that all children have their first eye exam at 6 months of age, another exam at age 3 and a third exam prior to entering school to ensure vision is developing normally in both eyes and there is no risk of amblyopia.

Amblyopia will not go away on its own, and untreated lazy eye can lead to permanent visual problems. If later in life your child’s stronger eye develops disease or is injured, he or she will depend on the poor vision of the amblyopic eye, so it is best to treat amblyopia early on. Treatment of lazy eyes in navi Mumbai is often delayed due to late diagnosis, parental apathy and  non compliance to treatment by the children.

What is patching or occlusion therapy?

The child will be asked to wear a patch on the better seeing eye for 2-6 hours a day depending how lazy the eye is. It is best if during this time, close work, reading or colouring is encouraged in order to encourage the lazy eye to see.

What is penalization therapy?

eye drops or ointment will blur the vision and dilate the pupil. It is long lasting and only needs to be given once or twice a week. As the sight in the better eye is now blurred, the child will be forced to use the lazy eye more. This treatment is expected to improve the vision in the lazy eye. It is usually reserved for  “mild” to “moderate” lazy eyes cases.

Utsav Eye Clinic is one of the few centres that use pharmacotherapy for treatment of lazy eyes in navi mumbai.

How long will my child need to wear an eye patch to treat his or her lazy eye?

The time needed to treat a lazy eye using an eye patch depends on several factors.

First, the age at which your child’s visual problems developed and how old he or she was when diagnosed can determine how long he or she will need to wear an eye patch. Generally, the younger your child is, the sooner he or she will respond to treatment and the better the outcome of this will be.

The severity of the lazy eye and how good your child’s vision is will affect how long he or she will need an eye patch. The better your child’s vision is, the quicker treatment will start to work.

The cause of a visual problem can also affect how well treatment works. If your child’s lazy eye is caused by unequal vision in each eye because of problems such as long-sightedness, short-sightedness or astigmatism (where the cornea at the front of the eye isn’t perfectly curved), it will usually take longer for treatment to be effective than if it’s caused by a squint.

Finally, the biggest factor affecting the length and success of treatment is how strictly the treatment plan is followed. It’s very important that your child carefully follows the treatment plan from the pediatric ophthalmologist.

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Treatment for CNLDO

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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Nystagmus

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What is nystagmus?

Nystagmus is a series of involuntary, rhythmic oscillations of one or both eyes. It may be horizontal, vertical or rotatory. It is commonly also known as “wobbly eyes” or “dancing eyes.” There are two types of nystagmus: infantile nystagmus and adult-onset acquired nystagmus. There are pre dominantly two forms of nystagmus:

  • Infantile nystagmus syndrome (INS) is present at birth.
  • Acquired nystagmus develops later in life because of a disease or injury.

Nystagmus in Navi Mumbai is is commonly treated either by Paediatric Ophthalmologists or Neurologists.

What is the cause for nystagmus?

Some of the cases of congenital nystagmus may be hereditary. In some cases there is clearly a family background sometimes going back over several generations. In others the disorder appears to be a singular occurence. In cases of ocular albinism and cone dysfunction, it is known that there is a definite hereditary basis. Genetic research is one of the fastest growing areas of medicine in the nineties. It is likely to prove of great importance to those with eye problems such as nystagmus.

How does nystagmus affect people?

Nystagmus affects people in many ways and the effects vary from person to person.

  • Most people who have had the condition since childhood do not suffer from a constantly moving image (known as ‘oscillopsia’) most of the time, as their brains adapt to the movement of the eyes. However, people who acquire nystagmus in later life are unlikely to adjust so well and will suffer much more from the effects of oscillopsia.
  • Nystagmus often seriously reduces vision. The degree of sight loss varies from person to person and is also related to the underlying condition. Many sufferers are eligible to be registered as partially sighted or blind. Please note that most people registered blind have poor vision, not no sight at all.

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Utsav Eye Clinic - Retailer of amblyopia (lazy eyes), paediatric cataract & blocked tear ducts in Navi Mumbai, Maharashtra.

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