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| Ophthalmology
is the medical specialty dedicated to
the study of the eye's structure and
function, and to the diagnosis and treatment
of diseases affecting them. In a normal
eye, the cornea and the lens focus the
light rays entering the eye to a single
point close to the retina. |
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The retina, or the light sensitive tissue
in the back of the eye, converts light impulses
into nerve impulses. The nerve impulses
move along the optic nerve to the brain,
which interprets the impulses allowing these
persons to "SEE". Three primary
types refractive errors might occur. These
are Myopia (near sightedness), Hyperopia
(far sightedness) and Astigma.
Lasik is an acronym for LASer in-situ Keratomileusis,
which simply means "to shape the cornea
within using a laser." It corrects
vision by reshaping the cornea (outer window
of the eye) so that rays focus more precisely
on the retina, thereby reducing or eliminating
refractive errors.
It is done by using an instrument known
as a microkeratome which cuts a thin flap
of corneal tissue, then the laser is fired
to remove predetermined amount o tissue&
the corneal flap is placed back in its position
without any stitch. This is done by use
of topical anesthesia. As it is done under
topical anesthesia, patient mobilization
is early & there is no post-operative
pain, less corneal scarring & haze.
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What
is Cataract?
The human crystalline lens, is the primary
focusing mechanism of the eye is clear.
With age, it becomes cloudy and opaque,
thereby hampering vision. Any opacity in
the crystal tine lens is called cataract.
When to get surgery
done?
Cataract should be removed when it begins
to affect your daily activities. When glare
or blur interfere while you are driving,
it is time to consider having surgery. DO
NOT WAIT FOR THE CATARACT TO GET MATURE
for this may lead to complications and a
more difficult surgery. CATARACT SURGERY
CAN BE PERFORMED IN ANY SEASON.
Phacoemulsification
The phacoemulsification is the most modern
method of removing a cataract lens. This
surgery is done under topical anesthesia
and no stitch is applied. So this is least
traumatic to the eye.
The advantages of phacoemulsification are
.1 Early mobility of pt. early visual rehabilitation.
2. Stitch less surgery.
3. Final glasses can be prescribed after
2 weeks as compared to 10 10 weeks of conventional
surgery.
Fluoresce in Angiography
F. A. is a technique of studying structure
integrity & patency of blood vessels
(especially of retinal & iris) using
a dye fluorescien. This dye after absorbing
the visible light gets activated & emits
radiations which can be visualized by using
special filters (cobalt-blue). F.A. not
only helps in diagnosis but also helps to
plan the treatment modalities for a particular
patients.
Pre-requisites for Fluoresce in Angiography
1. Patient should be empty stomach.
2. Fully dilated pupil
Adverse effect of the dye in some patients.
1. Nausea & Vomiting
2. Allergic reactions
3. Vasovagal attack
4. Yellow/red discoloration of urine ,
skin & nails which passes off with times.
Diabetic Retinopathy
In diabetic retinopathy, Argon Laser is
used mainly for treatment. For this only
pupillary dilatation is needed. Argon laser
is used to prevent the progression of the
retinopathy, so that the sight of a person
can be maintained.
What is PCO ?
After cataract surgery in some patients
there is opacification of posterior of the
human crystalline lens called PCO. This
hampers vision of a patient. This can be
treated with the use of Yag-Laser which
destroys the metaplastic - epithelium of
the lens, so that vision can be regained.
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