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Vasant Nayak

Papilloedema & its Connection with the Brain

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Papilloedema & its Connection with the Brain

What does Papilloedema mean?

The Optic Disc which is located back of the eye serves a point where optic nerves connect. When ICP (Intracranial Pressure) increases it compresses the optic nerve causing swelling at the optic disc.

Symptoms depend upon severity – headache will be the main complain for Papilloedema, double vision, nausea and vomiting.

What causes Papilloedema: High ICP (Intracranial pressure) is one of the main cause.

Brain Tumors: Abnormal growth in brain can obstruct CSF (Cerebrospinal fluid) pathway which increases the pressure leading to swelling in optic disc.

Brain Injury: Any injury can cause bleeding, swelling in brain leading high ICP.

Cerebral Infection: Infection Meningitis can also increase ICP.

Idiopathic Intracranial Hypertension: A condition where ICP are high and the cause is unknown. It is common in young and obese women.

Symptoms depend upon severity: Headache will be the main complain for papilloedema, double vision, nausea and vomiting.

Diagnosing can be done with Fundus Examination, MRI, Lumbar puncture.

Treatment: Medical therapy, surgery, lifestyle modification.

Papilloedema is more than eye issue as it connects brain. Symptoms shouldn’t be ignored early diagnosis and treatment is important.

At Divya eye clinic, we are dedicated to providing exceptional care for all your ophthalmic needs. Schedule your appointment by contacting us directly or conveniently book online through our website!

Everything you need to know about CSR (Central Serous Retinopathy)

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Everything you need to know about CSR (Central Serous Retinopathy)

How can once recognise the symptoms: Blur vision, distortion, dark spot in central vision.

CSR occurs when there is fluid accumulation under the retina primarily affects the macula because of this vision is affected. In CSR a person has blur vision or distorted vision. CSR is common in male whose age ranges between 20-50.

Factors which increases the risk of developing CSR:
Stress: High stress level increases the level of Cortisol which is also known as stress hormone which can weaken retinal barrier.

Corticosteroid use: Medication which contain steroids can trigger CSR.

Smoking/Alcohol: It reduces blood flow in retina.

Health issues like diabetes, blood pressure, hormonal changes during pregnancy can also be a risk factor of CSR.

Diagnose can be done with dilated fundus examination and special scan like OCT (Optical Coherence Tomography).

How to manage CSR:
Lifestyle changes: Reduce stress in life with the help of meditation, maintain sleep schedule avoid alcohol, smoking.

Medication/therapies for treating CSR:
For accurate diagnosis and management do consult the ophthalmologist at Divya Eye Clinic for all your ophthalmic needs. Contact us for an appointment! Or book your appointment through our website!

Rheumatoid Arthritis How it Affects Eyesight

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Rheumatoid Arthritis How it Affects Eyesight

Rheumatoid Arthritis is chronic autoimmune disease which causes inflammation of joints and can even affect other part of the body. It may cause many issues in various part of the body and also include eyes like severe dryness in eyes (keratoconjunctivitis sicca).

Rheumatoid Arthritis affects the lacrimal glands which will reduce the tear production and lead to dryness which can be managed with lubricant eye drops and ointments, scleritis is serious inflammatory condition affecting part of the eye sclera with can be managed with immunosuppressive drugs and can even cause uveitis which is inflammation of the uvea management can be with corticosteroids or immunosuppressive therapy and may cause many other eye related eye issues.

Rheumatoid Arthritis affects whole body and even eyes so medication to control Rheumatoid Arthritis is crucial, regular eye examination with ophthalmologist is necessary to detect damage and inflammatory signs in the eyes, protect your eyes with dust and monitor your vision Collaboration between rheumatologist and ophthalmologist is important for good care.

At Divya Eye Clinic, we are dedicated to providing exceptional care for all your ophthalmic needs. Schedule your appointment by contacting us directly or conveniently book online through our website!

Optic Neuropathy & How it Affects Vision

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Optic Neuropathy & How it Affects Vision

Optic Neuropathy is related to optic nerve which sends visual signals from retina to brain. If there is damage in the nerve which supplies information it is known as optic neuropathy which will affect the vision badly and may cause permanent damage.

The multiple types of Optic Neuropathy are:

1. Ischemic Optic Neuropathy (insufficient supply of blood)
2. Optic Neuritis which is related to autoimmune disease
3. Toxic Optic Neuropathy which is caused by tobacco ,alcohol and other toxins
4. Traumatic Optic Neuropathy any injury related to optic nerve

Depending on different types they many cause impairment like central vision loss, peripheral vision loss, color vision deficiency, scotomas, and pain.

If there is sudden vision loss, difficulty in distinguishing colours, certain area in vision is blank and if pupils reaction is affected then person should visit ophthalmologist.

Optic neuropathy is severe condition which affects eyes as well as the lifestyle of the patient and cause vision loss if management is not done on proper time.

At Divya Eye Clinic, we are dedicated to providing exceptional care for all your ophthalmic needs. Schedule your appointment by contacting us directly or conveniently book online through our website!

Anti-VEGF Injection for Curing Diabetic Retinopathy

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Anti-VEGF Injection for Curing Diabetic Retinopathy

The main cause of diabetic retinopathy is the rise in blood sugar level (Hyperglycaemia) which causes weakness of retinal blood vessels leading to leakage of blood causing swelling in retina. Controlling diabetes is important as it may reduce the risk and severity of damage in retina.

Diabetic retinopathy is broadly classified in two types:

1. Non proliferative diabetic retinopathy (NPDR)
It is early stage which damages retinal blood vessels by causing micro aneurysms (mild bulge in blood vessels ), Hemorrhages in retina, Exudates(deposits of cholesterol), Macular edema (swelling in specific part of retina which is macula), capillary closure (blockage of capillary vessels) depending on severity it is classified as mild, moderate, severe.

2. Proliferative diabetic retinopathy (PDR)
It is advance stage in which there is abnormal growth of blood vessels, haemorrhage in vitreous and can cause detachment of retina. In early stage there is new blood vessels growth. In advance stage it may lead to vitreous haemorrhage, retinal detachment or can even cause scarring and there is sudden vision drop in advance stage, severe stage is abnormal retinal pull which may cause retinal detachment and may cause permanent vision loss.

Anti –VEGF (Vascular Endothelial Growth Factor) injection are responsible for controlling VEGF activity (controlling abnormal blood vessels growth). These injection are directly injected in eye and reduces swelling, prevents leakage and helps in keeping vision stable. Anti-VEGF drugs are Ranibizumab, Aflibercept, Bevacizumab. Depending on severity and response in patient’s eye injection is given.

Benefits: Improves vision (in many patients there is improvement of vision or vision gets stable), it is a quick procedure; it helps in controlling and prevents from further progression.
If people experience floaters, flashes, sudden loss of vision or vision fluctuation, do consult ophthalmologist.

At Divya Eye Clinic, we are dedicated to providing exceptional care for all your ophthalmic needs. Schedule your appointment by contacting us directly or conveniently book online through our website!

Consanguineous Marriage & its Impact on Genetic Eye Disorder

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Consanguineous Marriage & its Impact on Genetic Eye Disorder

Consanguineous marriage or marriage between close relatives can also increase the risk of genetic disorder which will affect vision in some cases. Non dominant genetic condition like color blindness, congenital cataract and retinitis pigmentosa can pass to next generation if parents have that gene, some genetic condition are autosomal non dominant which means both parent should have 1 faulty gene to inherit in child. In consanguinity there are high chances that both parent contains 1 faulty gene which says only 25% chance on passing to offspring. In autosomal dominant only 1 gene from single parent is enough to cause the condition which means 50%chances of inheritance. X linked inheritance are disorder which are related x chromosome to show impact on inheritent.

In eye condition much genetic condition passes through autosomal non dominant inheritance like Retinitis Pigmentosa which can be because of consanguinity. It is a condition which leads to vision loss and can lead to blindness. Another condition can be Congenital Cataract which can lead to vision impairment and should be treated earliest. Albinism another condition which can lead to vision problem and is inherited through autosomal non dominant pattern.

How to manage the risk: Genetic counseling is important which can help people to understand the risk in consanguineous marriage, parental genetic testing can help people to understand before family planning.

At Divya Eye Clinic, we are dedicated to providing exceptional care for all your ophthalmic needs. Schedule your appointment by contacting us directly or conveniently book online through our website!

Botox for Reversing Signs of Aging for Eye Area

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Botox for Reversing Signs of Aging for Eye Area

As we age, the skin around the eye shows signs of aging such as wrinkles, drooping eyelids so Botox is a non-surgical way to rejuvenate the eye area.

1. Clears out wrinkles and fine lines around the eye by temporarily relaxing the muscle around the eye they help in making the skin appear younger.

2. Helps in drooping eyelids by lifting the eyebrow area with Botox without invasive surgery and give refresh look.

3. Reduce under eye wrinkles and Puffiness by smoothing the area under the eye and reduce puffiness by some extent.

It is fast and non invasive treatment which only takes 10-15minutes and the patient can do his/her daily activity after that. Botox is alternate option. Botox can last 3-6 months depending on patient to patient. Patient will see improvement after Botox in 3-6 days. Common side effect can be swelling and headache in some cases. For lasting effect avoid sun exposure, stay hydrated and do proper skin care. Consult your eye doctor that for knowing Botox is right choice for your eye.

At Divya Eye Clinic, we are dedicated to providing exceptional care for all your ophthalmic needs. Schedule your appointment by contacting us directly or conveniently book online through our website!

Ocular Health & Sleep Quality

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Ocular Health & Sleep Quality

Your eyes are crucial organs which constantly work by processing and interpreting the world around you. Since most of the tasks are now digital, maintaining eye health often gets overlooked. A key factor which is very important is sleep. During sleep the eyes lubricate to prevent dryness and irritation and reduces intraocular pressure. If sleep quality is not proper can cause dryness, eye fatigue and discomfort.

Poor sleep quality can cause issues like dark circles and puffiness around the eyes, digital eye strains and can even lead to serious condition like glaucoma.

So how you and i can improve sleep quality?

Create sleep schedule: Make a schedule of sleep and strictly follow it.

Only when necessary: Make sure you use your screen only while working or during important things.

Use 20-20-20 rules: If screens cannot be avoided make sure after every 20 minutes of screen work, take a break look 20 feet away for 20 seconds.

Use proper lighting: Your work area should have adequate lighting to reduce strain on your eyes.

Diet: Eat food rich in omega-3 fatty acid, vitamin A and Lutein.

At Divya Eye Clinic, we are dedicated to providing exceptional care for all your ophthalmic needs. Schedule your appointment by contacting us directly or conveniently book online through our website!

What Is The Retina? Symptoms & Treatment Of Retinal Problems

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What Is The Retina? Symptoms & Treatment Of Retinal Problems

What Is the Retina? Symptoms and Treatment of Retinal Problems The majority of the population has some kind of visual impairment, if glasses are considered a kind of visual impairment. They could be totally or partially blind, use glasses, or use readers. People may have any of a number of eye conditions in addition to the normal deterioration in vision that comes with aging. Among these is the category of retinal illnesses. Blindness may result from these conditions if treatment is delayed. However, how can you determine whether you have a retinal issue, and what signs can you watch out for?

You must first comprehend what the retina is. A layer of tissue at the very back of the eye is called the retina. Your retina catches lights entering your eye, and the retina uses the optic nerve to transmit knowledge to your cerebral cortex. Your retina is responsible for the majority of the information you perceive. If left untreated, retinal issues can worsen retinal cell damage. This leads to blindness or vision loss because the retina is unable to communicate with the brain.

How to Spot Warning Indications or Issues with the Retina:
Here are a few indicators that you may have a retinal health issue. If any of these symptoms appear, you should consult a Mumbai retinal expert right away.

  – BLUE LIGHTS Flashing lights may indicate a variety of eye disorders, including migraines, retinal deformities, and injuries. If you have never had light flashes previously and you don’t have headaches, this might indicate a retinal issue. The retina is in charge of communicating light impulses to the brain, and injury to it may result in the phenomenon known as flashing lights. A retinal rupture or perforation may be indicated by flashing lights. The retina may detach as a result of these holes and rips.

 – TINY VISION The term “dim vision” refers to the perception of objects as being fuzzy or darker. It seems as though you have turned down the brightness switch on a fluorescent light or are sporting somewhat tinted spectacles. You may address the same with the assistance of a Mumbai eye doctor.

  – LINES OR DOTS IN VISION It’s natural and common for people to occasionally observe a lot of random dots or lines in their vision that eventually fade. On the other hand, if they become more regular and persist, there may be a major issue. It’s crucial to have it evaluated because this might be the result of retinal damage.

 – BLIND AREAS Due to the location of the optic nerve, you will have one blind spot in your peripheral vision. It is, however, cause for alarm if you discover that you have more blind spots than before. Retinal issues might manifest as deep shadows, blind patches, or the sensation that something is obstructing your vision in a particular place.

 To have your eyesight examined and any changes assessed, you should schedule a session with your Mumbai eye expert.

The risk variables pertaining to retinal diseases:
The following conditions increase the likelihood of retinal problems: old age, smoking, obesity, diabetes, high blood pressure, and eye damage. A high minus number of myopia alone is associated with an increased risk of retinal disorders.

Revitalizing Your Vision: Vision Therapy and Its Impact

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Revitalizing Your Vision: Vision Therapy and Its Impact

Understanding Vision Therapy

 – Vision therapy is a branch of eye care that aims to rehabilitate an individual’s vision.

 – It differs from Visual Acuity, which quantifies the sense of vision.

 – Vision therapy includes a spectrum of visual skills such as contrast sensitivity, depth perception, color vision, focusing ability, peripheral awareness, etc.

 – Vision therapy is designed to improve visual comfort, ease, binocular vision, treat double vision, and address changes in visual processing and visual information.

Benefits of Vision Therapy

 – Vision therapy involves a series of exercises aimed at improving specific visual skills.

 – It does not promise to reverse visual impairments, but it can address a variety of visual problems.

Common Conditions Treated in Clinics

 – Amblyopia or Lazy Eye: A condition where the affected eye has poor visual acuity despite full spectacle/contact lens correction and the absence of any ocular pathology.

 – Convergence Insufficiency: Eye movement that occurs when an individual focuses on nearby objects.

 – Eye-Hand Coordination: Crucial in sports and falls under the category of sports vision therapy.

 – Neurological Disorders: An emerging subspecialty within optometric vision therapy that aims to rehabilitate patients with visual deficits stemming from physical disabilities, traumatic brain injuries, or neurological insults.

Role of Vision Therapists

 – Vision therapists diagnose, treat, and provide personalized therapy for the patients.

 – They assess visual problems, design customized treatment plans, perform vision therapy exercises, educate patients, and enhance quality of life.

Vision Therapy Techniques and Approaches

 – Techniques and approaches vary depending on an individual’s condition and goals for therapy.

 – Each patient’s goals are collectively established by the patient and the therapist before therapy begins to ensure accurate expectations..

 – Eye Exercises and Activities: Vision therapy involves focusing on different objects at near and far distances. Specific lenses may be introduced to increase difficulty.

 – Prisms: Specialized lenses with prisms are used to address binocular vision issues. These lenses shift the image of an object to fall on the intended part of the retina, promoting binocular vision.

 – Visual Therapy Devices: The “Brock String” and the “Hart Chart” are used to work on convergence and divergence of the eyes.

 – Patching/Occlusion: This treatment is the first choice for amblyopia or lazy eye. It involves patching the good eye, forcing the lazy eye to work, improving visual acuity.

 – Computer-Based Therapy: Technological advancements, including the COVID-19 pandemic, have prompted the incorporation of telemedicine into vision therapy. Home-based therapy, like Revital Vision therapy, allows therapy to be conducted remotely.

 – Behavioral Vision Therapy: Vision is linked to overall personality development and can significantly impact a child’s academic performance.

 – Vision-Motor Integration: Vision therapy focuses on connecting visual processing with motor tasks, improving visual processing skills and eye-hand coordination.

Vision Therapy in Pediatric Care

 – Early Detection and Intervention: Comprehensive eye exams can help identify and treat vision problems in children early.

 – Academic Success: Vision therapy improves overall functioning, leading to improved academic performance.

 – Improved Concentration and Attention: Vision therapy training procedures help children focus better during studies and enhance their visualization skills.

Vision Therapy Session at DIVYA EYE CLINIC

 – EYEBAB: A computer-based vision therapy session that treats lazy eyes in both children and adults.

 – Patient patches the sound eye and performs the therapy with the affected eye from 1.5 meters away.

 – Therapy duration varies based on the severity of the condition.

Choosing the Right Vision Therapist

 – Considerations for a vision therapist include credentials, training, experience, referrals, reviews, patient-centered care, communication updates, and comfort and trust.

Vision Therapy Overview

 – Involves eye exercises, home-based activities, prism prescriptions, computer-based vision therapy like Revital Vision, visuo-motor integration skills, and visual information processing skills.

 – Requires FDA approval for effectiveness and efficacy.

 – Suitable for individuals aged 7-8 years and older.

 – Benefits include intermittent exotropia, diplopia, binocular vision dysfunction, convergence paralysis/paresis, visual perception, and cognitive deficits.

 – FDA-approved innovations like Revital Vision for adult vision therapy.

 – Results typically take 6-8 weeks, with severe conditions requiring longer duration.

 

 

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