Best keratoconus hospital In India

1. Best keratoconus hospital In India Bringing advanced technology in ophthalmic care to India : OJAS Ojas Eye Hospital is an advanced ophthalmic institute that offers a variety of high end medical solutions to people requiring correction in vision. Ojas, which comprises a dedicated team of ophthalmic specialists led by Dr. Niteen Dedhia, has brought leading technology for ophthalmic treatment to India.

2. Pioneers in Lasik & CustomBladefree femtosecond LASIK treatment : Ojas pioneered the introduction of the advanced Wavefront Guided Bladeless Customized Lasik procedure. A treatment that eliminates the need for glasses or contact lenses with improvement in quality of vision. It uses the femtosecond laser which is the fastest laser in the world today to correct eyesight. India’s first Phakic Intra-Ocular lens implantation in a human eye : Ojas Eye Hospital continues its pioneering tradition to date. Dr. Niteen Dedhia has the distinct honor of performing India’s first Phakic Intra–Ocular lens implantation on 21st December 2002 on a patient having myopia of –35.0 Diopters. This advanced procedure corrects high myopia with astigmatism in vision by the permanent implantation of a collamer lense into the human eye. Get your reading vision treated with Prelex, if you are above 45 years

3. Go for it and be free from dependence on glasses at Ojas. Prelex Surgery is a Pres byopiclens exchange surgery to correct for far, near, and intermediate vision. Ojas is proud to introduce Trifocal lenses implantation surgery in 2012 and has performed this surgery on many celebrities in India. Treatment of Keratoconus with UV–X Corneal Collagen Cross Linkage (C3R) at Ojas Installation of UV–X machine for keratoconus. Ojas Eye Hospital is a pioneer in performing UV X -collagen cross linking and INTACS treatment for keratoconus since 2005. It has treated hundreds of patients suffering from keratoconus and stabilized the condition with improvement of their vision. MUMBAI’S FIRST INTACS IMPLANTATION CENTRE AT OJAS Introduction of specialized Retinal Clinic to perform • Retinal Angiographies viz. FFA / ICGA for - Diabetic & Hypertensive Retinopathy. - Age Related Macular Degeneration Retinal laser treatment (Photocoagulation) with the latest Nidek Double Frequency Green laser. Retinal Laser treatment is used to treat the desired area of the eye, while leaving the surrounding tissues • untouched. This diagnostic test allows the blood vessels at the back of the eye to be photographed with the help of a dye, viz Fluorescein or Indocyanine, which is injected into the bloodstream via a vein in the arm or hand. • Retinal detachment Surgery with the Millennium Bausch & Lomb Phaco + Vitrectomy machine equipped with - Endolaser - Endocautery - Air Fluid Gas Exchange Module - High Speed Vitrectomy Cutter - PhacoFragmatome - Silicon oil injector module - 23 gauge vitrectomy module • Intra Vitreal injection treatment with Triamcinolone, Avastin Eylea, Accentrix & Ozurdex for the treatment of Macular edema & Age Related Macular Degeneration. Age Related Macular Degeneration– Diagnosis & treatment • Age-related Macular Degeneration is a degenerative ageing condition of the central retina. It is diagnosed on Optical Coherenece Tomography (OCT) & Angiographies and treated with Laser & Anti VEG–F injection.

4. What is Keratoconus? Keratoconus is a progressive disease of the outer transparent layer of the eye ball (cornea) affecting young adults mostly in their twenties. It is characterized by Progressive thinning of the normally round cornea causing it to bulge forward and assume a cone like shape. This irregularity in the cornea results in the formation of a distorted image of objects on the retina & gives rise to Blurred vision. It generally affects both eyes but can also occur unilaterally. What are the symptoms & signs of keratoconus? Keratoconus is diagnosed usually on routine eye examination by the eye doctor. Keratoconus causes myopia or nearsightedness & astigmatism. The patient experiences frequent change in glasses prescription with fluctuation in vision. Some patients also have glare & sensitivity to light especially during night. In advanced stage of Keratoconus, corrective prescription glasses do not help the patient to see clearly and they have to switch to using hard or semi-soft contact lenses. Your eye doctor practitioner can diagnose early stage of keratoconus after a detailed eye examination which includes Retinoscopy, Slit lamp examination and sophisticated tests like Topography (Corneal Mapping) to check the shape and curvature of cornea & Pachymetry to determine the thickness of the cornea. Suspect Keratoconus when:

5. • • • • A late teen or young adult myope is no longer correctable to 20 / 20 at the phoropter There is a change in astigmatism. (cylindrical power) There is a change in axis of astigmatism. Frequent change in eye glass power. What causes Keratoconus? The exact cause of keratoconus is not known but latest research suggests that the cornea becomes weakened due to an imbalance of enzymes within the corneal tissue. Young patients produce high level of free radicals which cause oxidative damage to the cornea in absence of protective enzymes. This causes thinning and bulging of the cornea. Keratoconus also shows some genetic predisposition. It may transmit from parent to children and affect more than one family member. The Integrity and shape of the cornea are maintained by small protein fibers know as Collagen, which are extremely robust proteins which are distributed throughout the body and help in maintaining its structure. When these collagen fibers in the cornea become friable and damaged the cornea fails to maintain its shape and therefore cones outward. Corneal damage occurs due to the formation of free radicals which damage the collagen architecture. Free radicals are by-products of the functioning cells and they cornea is abundant in Mitochondria, which are the powerhouses of cells. During the production of energy for cells free radicals are formed which are neutralized antioxidant substances in the body, yet if there is a deficiency in antioxidants which may be due to reduced production within the body or

6. reduced intake by means of antioxidant rich food, will lead to free radical damage to the cornea amongst other body structures. Keratoconus can be an acquired condition but an entity known as Familial Keratoconus has been described in literature in which it states that certain individuals with a significant family history of keratoconus in direct relatives have a greater risk of developing the same condition. Since keratoconus is a very slow progressing condition which in some cases do not lead to significant compromising of sight most individuals are undiagnosed in the population. Irritation of the outer aspects of the eye is one of the causes of keratoconus. The conjunctivae which are the outer linings of the eye lids are prone to become infected. A commonly known disease entity known as Conjunctivitis where there is reddening, inflammation and irritation of these outer covering of the eyelids causes itchy eyes in most individuals. Also any foreign objects such as hairs or dust particles or some cosmetic products can also cause irritation of the eye. Irritant eyes become progressively itchy and due to this there is friction damage to the sclera and cornea. Ultraviolet light poses a great danger to the cornea and the lens of the eyes. The most potent source of natural Ultraviolet light is sunlight and individuals who have prolonged exposure to sunlight such as police officers, construction workers and members of the armed forces have a significantly high risk of catastrophic damage to the cornea. Another source of irritation of the cornea is the use of loose fitting incorrectly positions inferior quality contact lenses, some of which are sold over the counter for cosmetic purposes. These cause irritation of the conjunctivae and eye which in turn leads to the attraction of infections to the eye which will damage the cornea. Individuals more prone to allergic reactions, such as Asthma also have an increased risk due to allergic inflammation of conjunctivae leading to itchy eyes causing friction damage to the cornea. Keratoconus Symptoms How to suspect Keratoconus? • Nearsightedness- Also known as myopia, this is the inability to see distant objects clearly i.e. Road signs or billboards, whereas your ability to read a paper or computer screen clearly is preserved. Due to the inability to focus light myopia is a hallmark feature in keratoconus. Astigmatism–This is the blurring of vision at all distances. The light focused through the eye fail to come to a single focus on the retina which can be compared to the antenna of a television. If the antenna does not receive a • clear focus signal the television becomes blurred as is the case in astigmatism. Glare & Flare- due to the disturbances in the amount of light entering the cornea, individuals with keratoconus • tend to experience high sensitivity to bright lights, especially at night time. This becomes a significant problem

7. for those who drive at night, as due to the excessive glare of street lights and the lights of incoming vehicles the eyes tend to get tired easily leading to the risk of driving without accurate sight. Frequent changes in lens prescriptions– this is the commonest reason why Keratoconus is detected. Patients tend to notice that they have to change prescriptions for normal spectacles more frequently as they experience • blurred and distorted vision even with new spectacles after a short period of time or having to convert to contact lenses as spectacles cannot correct the vision. Upon examination by an Ophthalmologist or skilled Optometrist Keratoconus is detected. Keratoconus Risk Factor Risk factors and Risk factor prevention of keratoconus Inherited diseases which increase the risk of Keratoconus include Retinitis Pigmentosa which is a disease which causes night blindness and progressive loss of vision and Ehler- Danlos Syndrome which is an inherited defect in the production of collagen tissue in the body which is responsible for maintaining the dome shaped structure of the cornea of the eye and Down’s syndrome. These are all inherited diseases and hence cannot be changed with lifestyle modifications. An Antioxidant poor individual has an increased risk of Keratoconus as it is thought that free radical damage to the cornea is a leading cause of keratoconus, and antioxidants reduce the amount of free radicals in the body hence detoxifying the body. Antioxidant rich food such as colorful fruits should be consumed regularly to replenish the antioxidant stores in the body. Infection or irritation of the conjunctivae requires immediate medical attention. Use of over the counter eye drops are frowned upon as they carry the risk of aggravating the irritation and causing damage to the eyes. A medical professional must be consulted and prescribed treatment must be taken promptly to prevent damage to the cornea and the eyes. The Risk Associated with exposure to increased Ultraviolet radiation can be countered by wearing polarize polycarbonate sunglasses of high quality which block UV rays 100%. These are recommended for individuals who spend increased amounts of time exposed to the sun.

8. When buying Contact lenses they should be bought from a reputed institution and care must be taken that it is a perfect fit. Can cleaning should be done with the recommended, eye safe cleaners. Complications of Keratoconus Keratoconus is a progressive disease of refraction due to the degeneration of collagen tissue in the cornea causing it to lose stability and bulge outward resembling a cone. Complications can occur due to the progressive destruction of the cornea or due to the prolonged use of contact lenses. Acute Corneal Hydrops Acute Corneal Hydrops is a condition where patients suffer a sudden loss of vision with associated pain and discomfort in the eye due to the leakage of fluid into the cornea across the weaken areas This can occur in one eye or both eyes. This does not cause a permanent loss of vision of the eyes but specialist medical attention must be sought to rule out any other sinister causes.

9. Treatment for this sudden loss of vision is normally palliative since this resolves generally on its own and in some cases have shown to very rarely cause the flattening of the cornea to resemble somewhat its original shape. Here scarring of the cornea of the eye may or may not occur, and if scarring is present this will likely need a corneal transplant in order to restore vision. Abrasions due to contact lenses Contact lenses though placed in the eye for a purpose are essentially a foreign body in the eye. As with all foreign bodies this can cause an irritant reaction in the eye which will cause damage to the eye. It is important also to note that inferior quality contact lenses made of materials of questionable quality are available for a lower price but these may do more damage than good. Reputed Optometrist support must always be sought when obtaining contact lenses Psychological trauma due to poor vision Vision is the most important sensory modality we use to make sense of the world around us. It is the single most essential sense we use most in daily life. The distortion of vision associated with Keratoconus can be incredibly debilitating both physically and psychologically. The Complications of Keratoconus are extremely rare and are easily preventable with the proper interventions at the correct time. It is important to have regular eye checkups to make sure there are no signs of conditions like keratoconusand if such a condition exists prompt treatment will enable you to live a happy life with perfect visual clarity. For More Detail http://www.keratoconusindia.in