Ophthalmology

PATIENTS SPEAK

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Dr. Kamlesh Patel
Consultant - Vitreo-Retina and Uvea Services, Comprehensive Ophthalmology
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Dr. Sankit U. Shah
Consultant - Cornea, refractive surgery and comprehensive ophthalmology

Overview

Ophthalmology

Team of highly experienced surgeons who are supported by most advanced state of the art medical equipments & well trained & qualified support staff in the department of Ophthalmology is dedicated to provide comprehensive range of treatment of eye and related structures in adult & Pediatric patients.

Infractructure

  • Procedure Rooms.
  • Day Care Facility for short procedures & surgeries.
  • State of the art Modular Operation Theatre
  • Advance Phacoemulsification System ( Zeiss Visalis 100, Visalis 500)
  • Operating Microscope ( Zeiss Lumera I )
  • Autorefractometer ( zeiss Visuref 100 )
  • Digital Fundus Camera with FFA & ICG ( Zeiss Visucam 524 )
  • Corneal Topography ( Zeiss Atlas )
  • Air Contact Tonometer ( Zeiss Visuplan 500 )
  • Optical Biometry (Zeiss IOL MASTER 700)
  • A - B Scan ( DGH )
  • Corneal Pachymetry ( DGH )
  • Digital Visual Charts
  • AutoLensometer ( Zeiss Visulens 500 )
  • Advanced Perimeters ( Zeiss Humphrey field Analyser 3)
  • Retinal Green laser
  • Yag Laser ( Zeiss Visulas yag 3)
  • Lasik Machine ( Zeiss MEl 90 )
  • Moria Microkeratome ( SBK )
  • SLIT LAMP ( Zeiss SL 220 )
  • TOPCON Ant Segment Imaging System ( DC 4 )
  • Optical Coherence Tomography ( Zeiss Cirrus HD OCT, ANTERIOR & POSTERIOR BOTH)

Services

1.Cataract

  • What is Cataract?
  • A cataract is a clouding of the eye’s naturally clear crystalline lens. When the lens becomes cloudy, light rays cannot pass through it easily, and vision is blurred.
  • Common symptoms of cataract :
  • Painless blurring of vision
  • Glare or light sensitivity
  • Poor night vision
  • Double vision in one eye
  • What Causes a Cataract?
  • Aging
  • Medical problems such as diabetes
  • Injury to the eye
  • Medications, Especially Steroids
  • Long-term, unprotected exposure to sunlight
  • Previous eye surgery
  • Unknown factors
  • Frequently Asked Questions (FAQs)

    A thorough eye examination by your ophthalmologist can detect the presence of a cataract.

    How quickly the cataract develops varies among individuals and may even be different between the two eyes.

    Surgery should be considered when cataracts cause enough loss of vision to interfere with your daily activities. It is not true that cataracts need to be “rips” before they can be removed or that they need to be removed just because they are present.

    There are no medications, eye drops, exercises or glasses that will cause cataract to disappear once they have formed, surgery is the only way to remove a cataract.

    Phacoemulsification is a non-stich method of cataract removal by ultrasonic fragmentation and aspiration of the cataractous lens through a small incision. It gives greater intraoperative control and rapid postoperative recovery. Patients are able to resume normal activity much sooner and with fewer restrictions in a shorter duration of times than the traditional cataract surgery.

    Toric IOL’s ( for cylindrical powers ), Multifocal IOL’s. Trifocal IOL’s are various premium intraocular lenses which help in elimination need for glasses (distance, intermediate as well as near ) following Cataract Surgery.

    Make an appointment for an eye examination if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or sudden headache, see your doctor right away.

3.Lasik and Refractive Surgery

  • What is Refractive Error?
  • In the normal eye, parallel rays of light are brought to a point focus on the retina – the light sensitive layer at the back of the eye. This focusing is done by the Cornea and Lens of the eye. When such a sharp focus is not achieved, a refractive error condition results and the Vision is not clear.
  • Common Refractive Errors are:
  • Myopia or Nearsightedness
  • Myopia is a condition of the eye where the light that comes in does not directly focus on the retina but in front of it, causing blurred vision. In myopia, close objects look clear, but distant objects appear blurred.
  • Hyperopia or Farsightedness 
  • Hyperopia is a vision condition in which distant objects can be seen clearly, but close ones do not come into proper focus.
  • Astigmatism 
  • A normal cornea is round and smooth but a cornea with astigmatism is not perfectly rounded but has a very slight curve and when this curve is too great, or pointing in the wrong direction then astigmatism occurs. It is possible to have astigmatism in combination with myopia or hyperopia.
  • How is Refractive Error Corrected?
  • Glasses (Spectacles).
  • Contact Lenses.
  • PRK (Photo Refractive Keratotomy) using Excimer Laser.
  • LASIK (Laser Assisted In Situ Keratomileusis) using Excimer Laser.
  • What is LASIK?
  • LASIK is a quick and effective procedure to reduce one’s dependence on glasses or contacts by correcting the refractive errors of the eye. The procedure involves creating a thin flap of Cornea, the top layer of the eyes, using either a fine blade or a laser followed by, an Excimer Laser gently reshaping the underlying layers to enhance the visual acuity. It is one of the safest and most commonly performed procedures across the world with over 30 million eyes allowed to break free from the bonds of corrective eyeglasses.
  • Am I an Ideal Candidate?
  • An ideal candidate for LASIK would be one who is:
  • Above 18 years of age
  • Has stable cylindrical or spherical powers
  • Has healthy Cornea with good thickness
  • Has healthy Retina and optic nerve
  • Has strong motivation to get rid of glasses/ contact lenses
  • Has strong motivation to get rid of glasses/ contact lenses
  • Pre LASIK Evaluation
  • Before recommending lasik, a pre LASIK evaluation will be conducted to obtain the accurate eye measurements and hence maximize the post LASIK results.
  • Points to ponder:
  • Above 18 years of age
  • Stop wearing contact lenses (hard or soft ) at least one week prior to the LASIK evaluation/ surgery.
  • Latest LASIK Procedures
  • CUSTOMISED LASIK ( 90 MICRON SBK )
  • CUSTOMISED Lasik (AAA PROFILE ) is an evolved & most latest form of the traditional LASIK that creates an ultra-thin corneal flap using modern microkeratome ( MORIA SBK ) blades. This tissue friendly procedure scores high on safety and accuracy.
  • Advanced Surface Ablation (PRK)
  • Advanced Surface Ablation (ASA) is a laser procedure that effectively corrects nearsightedness, farsightedness, and astigmatism in most patients through a unique minimally invasive approach, free of microkeratome blades. Ideal for patients who are not suitable candidates for LASIK but are motivated to get free of their spectacles. Many patients are eligible for this procedure and can achieve clearer vision with reduced dependence on glasses or contact lenses.
  • I am not eligible for LASIK- What now?
  • There are still numerous advanced options available, including:
  • Phakic IOL/ Implants
  • People with high refractive errors beyond – 10 and + 4 are advised to opt for Implantable Contact Lens (ICL). A special thin lens is implanted over the natural lens of the eye to allow excellent vision unhindered by glasses. Power upto -20 may be treated by this procedure.
  • LASIK/ PRK EXTRA
  • It is a new procedure used for persons with an unhealthy cornea, unfit for traditional laser procedures. Here the surgeon combines laser Surface Ablation with Cornea Cross-Linking to correct the refractive error & strengthen the cornea as well.
  • RANGE OF REFRACTIVE ERRORS
  • Certainly, LASIK is designed to correct the refractive errors till +5& -12 in most patients. The LASIK procedures are said to be among the safest and most frequently performed a surgical procedure on the human body with over 30 million eyes treated worldwide.
  • WHY KIRAN HOSPITAL ?
  • Internationally trained LASIK surgeon
    Advanced LASIK pre-evaluation machines
    Specialized Retina Clinic for comprehensive screening
    Continuous LASIK technology upgradation
    Satisfaction rates as high as 99.9%
  • LASIK FAQs

    As in most of the patients, both eyes are treated in the same sitting, your procedure may last for 10 to 15 min

    LASIK is a pain-free procedure after putting anesthetic drops. some patients might feel pressure sensation for a few minutes.

    You can resume your activities in 3-4 days time. Swimming and eye makeup should be avoided for one month.

    One week for soft contact lenses and two weeks for RGP ( Rigid Gas Permeable ) contact lenses.

    Yes, However you will need reading glasses once you reach presbyopic age.

    LASIK is one of the safest surgeries in the human body. However, as with any medical procedure, there are certain risks involved which a candidate may understand and accept before surgery. please make sure you have discussed your case in detail with your surgeon and understood all aspects of the procedure.

  • To know more about LASIK:
  • Visit: KIRAN HOSPITAL, SUMUL DAIRY ROAD, SURAT
  • For queries, email: Sankit.shah@kiranhospital.com Call : (0261)7161224
  • ZEISS MEL 90 ( WORLD ‘S FASTEST & SAFEST LASIK MACHINE )
  • The use of excimer laser technology in refractive surgery starts in 1986 – with ZEISS. The MEL® 90 carries that legacy forward. Successfully combining years of expertise and innovative performance features, it offers users a highly rewarding handling experience. Specially designed for the needs of the modern refractive surgeon, the ZEISS MEL 90 incorporates proven safety as well as individually configurable options. Unique product qualities like the FLEXIQUENCE® switch function (250 Hz / 500 Hz), the ablation profile Triple-A and the outstanding intra-operative ablation speed of up to 1.3 seconds per diopter create entirely new treatment prospects.
  • FLEXIQUENCE – Applied flexibility
  • A true novelty – the FLEXIQUENCE switch function lets you flexibly choose between 250 Hz and 500 Hz frequency. It allows you to combine your previous clinical experience with excimer technology as well as the innovative advantages of the MEL 90. In fact, you can have twice the speed in a fraction of a second with a simple touch of the finger – enabling you to leverage both proven reliability and new treatment opportunities.
  • Triple-A – Predictable and gentle
  • The MEL 90 also features the Triple-A Advanced Ablation Algorithm. As a single ablation profile for a wide range of sphero-cylindrical (SCA) corrections, it simplifies treatment planning. Triple-A offers a high degree of precision and predictability. In addition to intelligent energy correction, it comprises an aspherically optimized design that also focuses on minimal tissue removal. This results in gentle treatments of standard, but also eyes with higher and lower level of ametropia. All combined into one single ablation algorithm: Triple-A.

Ophthalmology Success Stories

Kiran Hospital Surat by Mr. Raja Murad from South Africa.