Shree Jeewan Hospital, 67/1, New Rohtak Road, Nearby Liberty Cinema, Delhi, India
Book Appointment: 98185 57536, 98713 08799
Cataract
A cataract is a condition where the natural lens in the eye becomes cloudy and hard and are usually a part of normal aging process. If the blurred vision due to cataract is disturbing your daily lifestyle, the cataract may need to be removed.
The latest technique of cataract removal is Femto-Second Laser Assisted Blade-Less Cataract Surgery also popularly known as Robotic Cataract Surgery. The laser is accurate to the level of 5 microns thereby enhancing its precision, safety and visual outcomes over regular phaco surgery.
We are using all kinds of premium intra-ocular lenses and are doing many surgeries all around the year.
Our hospital is being selected as tertiary eye care center from Delhi Government as Motiya Bhind Abhiyan Scheme.
Glaucoma
Glaucoma is the most serious eyesight threatening condition of the eye. It usually manifests as a painless gradual loss of vision. The lost vision can never be recovered. However, medical or surgical treatment can prevent or retard further loss of vision.
Many a times it can be confused with a cataract which also manifests as a painless gradual loss of vision. The difference is that in the case of cataract, the loss of vision is fully recoverable by means of a simple surgery called Phaco. Our eyes contain a clear fluid called aqueous humor, which is continuously produced in the eye to bath and nourish the structures inside it. The fluid normally drains out of the eye through drainage canals in a fine mesh work located around the edge of the iris (the colored part of the eye that surrounds the pupil). In people with glaucoma the fluid fails to drain due to some defect and thus increases the pressure inside the eyes called raised Intraocular Pressure (IOP) (or Tension).
In most cases of glaucoma, the patient is not aware of the gradual loss of sight until vision is significantly impaired. However, if glaucoma progresses without adequate treatment, the following symptoms may occur in some individuals:
1. Pain around the eyes when coming out from darkness (e.g., as soon as the person comes out of a cinema hall)
2. Colored halo rings seen around light bulbs especially in the mornings and nights
3. Frequent change of reading glasses, headaches, pain and redness of the eyes
4. Reduced vision in dim illumination and during nights
5. Gradual decrease of side vision with progression of glaucoma
The facilities for glaucoma diagnosis and treatment include:
Pneumotonometer for non contact measurement of IOP
Goldmann Applanation Tonometer (considered gold standard) for accurate measurement of IOP.
Three and four mirror gonio lenses.
Humphrey Perimeter for visual field examination.
Ultrasonic Pachymeter for accurate measurement of central corneal thickness.
(OCT-ONH) Optovue Machine to for imaging, Diagnosing and monitoring the optic nerve and retinal nerve fiber layer, the areas of the eye damaged by glaucoma.
Appa Nd YAG Laser for doing peripheral Iridotomy in cases of angle closure glaucoma.
Glaucoma Valve Implant
Retinal Disorders
Retina is like the film of the camera which sends the image to the brain for processing. A damaged retina can lead to significant visual disturbances many of which may become permanent if not treated in time.
Diabetic retinopathy is one of the leading causes of blindness in adults. It is caused by changes in the blood vessels of the retina, making them leaky, causing visual damage. Early detection can be done by Eye Angiography and OCT. Retina Lasers can retard the progress of disease and prevent permanent visual damage.
1. Diabetic Retinopathy
2. Age-Related Macular Degeneration
3. Retinal Detachment
4. Central serous retinopathy
5. Vascular blocks in the retina
All investigations related to diagnosis of retinal diseases are available like 90D, indirect ophthalmoscopy
Ultrasound Bscan, OCT Macula, fluorescein angiography
Treatment for the same like various kinds of lasers, injections, Vitreo Retinal surgeries are done.
Squint
Eyes of children are different from adults and require specialized treatment. We have dedicated team of Pediatric Ophthalmologists specially trained to take care of the little ones. Squint, also known as crossed eye or strabismus, is the medical term used when the two eyes are not looking straight. It occurs in children in 2 to 4 percent of the population. A suppression of vision may occur in the Squinting eye which becomes permanent if treatment is not initiated on time.
Treatment
The aim of treatment is to restore good vision to each eye and good binocular vision. First line of treatment is doing good refraction Treatment usually includes patching the eye that is always straight to bring the vision up to normal in the turned eye. Glasses may be used, particularly for eyes that are out of focus. Surgery on the eye muscles is sometimes necessary.
Oculoplasty
Tears are produced by the lacrimal gland located in the upper outer portion of each eye. They normally drain from the eye through small tubes called tear ducts or nasolacrimal ducts( NLD) that stretch from the eye into the nose. A blocked tear duct occurs when the opening of the duct that normally allows tears to drain from the eyes is obstructed or fails to open properly. If a tear duct remains blocked, the tear duct sac fills with fluid and may become swollen and inflamed, and sometimes infected.
Nld Block(nasal lacrimal duct)
In babies, the most common cause of NLD Block is the failure of the thin tissue at the end of the tear duct to open normally.
Other less common causes of NLD Block in children include:
1. Infections.
2. Abnormal growth of the nasal bone that puts pressure on a tear duct and closes it off.
3. Closed or undeveloped openings in the corners of the eyes (puncta) where tears drain into the tear ducts.
In adults, tear ducts may become blocked as a result of a thickening of the tear duct lining, nasal or sinus problems, injuries to the bone and tissues around the eyes (such as the cheekbones), infections, or abnormal growths such as tumors.
Diagnosis
Diagnosis is based on symptoms. The cause of the tear duct blockage must also be identified. Tests are determined by the patient’s age and symptoms. To determine the presence and extent of tear duct blockage, a fluorescein eye stain is used to observe the drainage of tears. An orange dye is placed in the eye using a dropper or blotting paper. After it covers the surface of the cornea, a blue light is shone on the eye to detect abnormalities on the cornea, including delays in tear drainage.
An internal examination of the nose may be indicated, especially if an injury has occurred. Imaging tests and x-rays also may be warranted to rule out other causes, such as a tumor. In adults, a fluid is irrigated through the nasolacrimal drainage system to locate and determine the extent of the blockage.
For children lacrimal sac massage, antibiotic drops and if still not improving then syringing and probing under GA.
For Adults surgery is the option according to the syringing results of both upper and lower punctum.
We manage other diseases as well like Ptosis, Ectropion, Entropion and other Oculoplasty related diseases.
Lasik
Lasik is an advanced technology for Removal of Glasses. It is a small 2 minutes procedure to get rid of your glasses and see the beautiful world. It can be done after the age of 20 years for both boys and girls with No Change in glasses number in the last 2 years. These days Lasik procedure is also valid in many occupation requirements. It is a painless aesthetic procedure. Dr Ankita Sabharwal has treated many students, Pilots and cabin crew, famous personalities and sportsmen.
Lazy Eye / Amblyopia
One eye works more than the other due to abnormal visual development. Amblyopia can be treated if ROUTINE Eye checkups are insured by parents. Due to hidden refractive error the child starts using one eye more than the other.
In Amblyopia there is no abnormality in the development of the eye but generally the eye is not stimulated to see fine objects. The nerve pathways between the brain and eye are not properly STIMULATED therefore the brain favors the other eye.
Dr Ankita Sabharwal has treated more than thousands of young children and they are Happy with vision 6/6. Special eye exercises and detailed counseling to the parents and child is really helpful as it's a combined effort of both Doctor as well as child and parents to overcome this problem smoothly!!
ARMD (Age Related Macular Degeneration)
It is a deterioration or degeneration of macular area cells which leads to central visual impairment. Macula is a very sensitive part of the Eye which provides vision to the central part of the eye.
There can be 2 types of ARMD: Dry and Wet
Dry ARMD: This can be thinning due to age related. Prophylactic treatment can be started so that further loss can be stopped.
Wet ARMD: It is the leakage of blood vessels due to thinning of macular area cells, prompt treatment with injections have shown very good recovery with the patients.
Delay or confusion can lead to permanent loss of vision in that area.
Dr Ankita Sabharwal has treated patients with age 92yrs and above also and they have shown very good recovery of vision.