Delay In Treatment For Fear Of Corona Infection Led To Worsening After Lasik

Aug12

Sunidhi Menon, a 29-year-old, IT professional underwent Lasik surgery in Surat in the month of February. She was extremely happy after her Lasik and did not need her clunky glasses anymore. World was suddenly more beautiful, and she felt so liberated. I can relate to that feeling! A month after her surgery, lock-down was being announced. She immediately decided to go back to her parents’ home in Navi Mumbai. She somehow managed to reach Navi Mumbai after a lot of difficulty. Being a computer professional she was sending 10-12 hours on laptop every day. Things were going great for her. One day accidentally her fingernail hit her right eye while she was rubbing her eyes. Her eye was painful for some time. She instilled the lubricating eye drops and slept through the day. To her respite, her irritation had settled down and she went on with her daily life and schedules. Slowly she started noticing a mild blurring of vision in her right eye. She ascribed it to her excessive computer work. She took a teleconsult with the doctor in Surat, who recommended her to visit a local eye doctor and get her eyes evaluated. She kept postponing that for the fear of Corona pandemic. 2 months later when she closed her left eye, she realized that her right eye vision had deteriorated even further. Finally, after doing an online search for a good Lasik specialist near her, she landed for a consult with me at Advanced Eye Hospital in Sanpada.

She went through a detailed eye check-up. The vision in her right eye had reduced to almost 50% of normal. Besides that, there was a distortion of her vision as well which could not be corrected even with glasses. I examined her and realized that she had developed an epithelial ingrowth in her right eye. This is the growth of excessive cells under the Lasik flap and this rarely encroaches on the centre of the cornea as well. Large epithelial ingrowths can cause not just reduction of the vision but also distortion of the remaining vision. She was basically functioning due to her left eye. We immediately advised her to undergo a small procedure to remove the epithelial in-growth. She got very upset and started questioning her decision to have undergone Lasik.

I can understand the agony that she was facing given the need for an additional procedure. I re-assured her. Finally, after some amount of counselling, she decided to get the procedure done. Her procedure was performed under all safety guidelines and was uneventful, and we removed the full in-growth. She was advised some eye drops and given a schedule for follow-up to ensure the proper recovery.

Now this incident brings home a particularly important point. Can we allow the fear of one problem aggravate another? We are all worried about the corona pandemic and taking utmost precautions so that we and our loved ones are safe. If everyone will develop the attitude like Sunidhi then doctors should be the first one to sit at home and not expose themselves to any risk! Rather than realizing that problem aggravated due to her delay in seeking the treatment, she started blaming the Lasik itself. In her case probably her fingernail injury led to the development of epithelial ingrowth which slowly progressed while she sat at home due to the fear of Corona virus.

I think we all need to realize that not doing anything is surely not the solution for a lot of eye problems. Even though teleconsultation is a great option for getting opinion for many eye problems but in some cases a physical visit is required to ascertain the actual eye problem. I have already written about it in more detail here.

Patients like Sunidhi teach an important lesson to each one of us. No health problem is a small problem and should not be ignored. To begin with teleconsult is a great option and in many cases that would be enough to get the right advice and treatment. Sometimes your doctor will advice you to consult in person. That is the time when not doing anything can aggravate a minor eye problem to a more serious one! Take all precautions with face mask, hand sanitization, social distancing and choose an eye hospital where all safety precautions are being implemented.

About Advanced Eye Hospital and Institute:

Dr Vandana Jain – Lasik Surgeon expert

About Dr. Vandana Jain

Dr. Vandana Jain is an experienced eye doctor dealing with cornea, cataract, and laser vision correction procedures. She has been performing all kinds of cornea, cataract, and Lasik surgeries for more than 15 years. She is a sought-after eye doctor and admired by her patients for her skills and friendly nature. She is very meticulous in her work and believes in giving her best to each and everyone.

Taking care of your eyes in Monsoon season

Jul23

Reema contacted me over a teleconsult. Her eyes were swollen, and the pain was excruciating. She started experiencing these symptoms over the last one day. She had not even stepped out of the house due to the lockdown and was working from home. Over the video consult, I realized that she had developed a stye, which is a kind of infection in the glands of the lids. Due to this infection, lids become painful and swollen. On further probing she did mention her recent tendency to rub her eyes to relax the tired eyes after hours of working on her laptop. Monsoon season along with her newly acquired habit of eye rubbing probably predisposed to it.

Obviously, monsoons are the most wonderful time of the year. For all age groups it has something magical to offer. This season is all about thundering clouds, falling rain drops, freshness and greenery all around, and of course croaking frogs. This year the magic of monsoon is even more, as due to lock-down, we are working from home and we don’t have to brace ourselves for the raincoats, traffic jams, water puddles, and whole host of inconveniences that come along with it.

Monsoons are also associated with its host of health issues for a lot of people. Our eyes are also vulnerable to a host of eye infections and conditions during monsoons:

Pink Eye

Seasonal changes predispose people to certain viral infections of the eyes. Pink eye or conjunctivitis is one of them. Watering of eyes, redness, discharge, foreign body sensation, swelling of the eyelids, sensitivity to light are all signs and symptoms of conjunctivitis or pink eye. It is important to not self-medicate. We have had patients who unknowingly bought steroid eye drops from the pharmacy and ended up worsening their conjunctivitis to a dangerous complication called corneal ulcer.

conjunctivitis

Stye

You can develop an infection of the glands of your eye lids which is called a Stye. It is a red lump on your eyelid that looks like a boil. It can lead to watering, pain, and often diffuse swelling of your eyelid. You can apply a warm napkin on your closed eyelid for 10 minutes a day and repeat it 3-4 times a day. If it does not improve after 2-3 days, visit your eye doctor.

Dry Eyes

Though it seems like a paradox, exposure to drafts of cold wind and opening your eyes directly onto raindrops can wash out the natural tear film that protects your eyes. Use protective glasses when you are exposed to strong winds to prevent drying out of the eyes. And do not allow raindrops to fall into your eyes directly. Using too much laptop or mobiles can add to this

Corneal Ulcers

Viruses, bacteria and fungus are active in this moist weather. They can cause a sore on the outermost transparent layer of the eye called the cornea. This can get extremely dangerous if not treated appropriately in time. Do not hesitate to consult your eye specialist if you suffer from eye pain, yellowish discharge and blurry vision.

Corneal Ulcer

Here are some more tips to help you take care of your eyes this monsoon.

Wash your hands especially before you touch your eyes. Avoid rubbing your eyes or even touching your eyes.
If a family member is suffering from an eye infection, do remember to keep his/her towels, napkins and pillow covers separate. Ask the family member to use disposable tissues instead of towels to wipe their eyes. Wash your hands after administering eye drops.
Prevent kids from jumping in puddles and waterlogged areas.
Do not share eye makeup. If you have an eye infection, replace the old makeup after you have been cured of it. Always use good brands for eye makeup.
Avoid opening your eyes directly under rainwater. Though rainwater per se is clean, that which slides off buildings or has absorbed atmospheric pollutants can harm your eyes.
Avoid the use of over-the-counter eye drops. They may contain steroids which may be harmful if used without the supervision of an eye specialist.
Use sunglasses with UV protection whenever you are outdoors, even if it is a cloudy day.
If you are a contact lens user, do not use your contact lenses when you have an eye infection. After you have recovered, do remember to clean your lens thoroughly before you put it back in your eyes. Do not share your contact lens case or solution with others.

Let us all enjoy the beautiful monsoon weather amidst lush greenery along with a hot cup of tea and pakoras! Enjoy getting wet as well but not at the cost of the health of your eyes! Simple precautions will ensure happy and healthy eyes!

About Advanced Eye Hospital and Institute:

Advanced Eye Hospital and Institute in Navi Mumbai is one of the best eye hospitals in Mumbai. Eye check-up rooms and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalized care, infection free modular operation theatres and beautiful ambiance compliment the cutting-edge eye care offered at AEHI. It is one the eye hospitals where all the protocols are implemented to ensure safety of everyone from corona infection. All different super-specialist eye doctors like cataract, cornea, retina, glaucoma, lid surgeon, kids eye specialist, are present under the same roof. Besides treating patients from Kharghar, Nerul, Seawoods, Sanpada, Belapur, Vashi, Ghansoli, Airoli and Panvel, patients from all over western India travel to AEHI for world class eye care management.

About Dr. Vandana Jain

Dr. Vandana Jain is an experienced eye surgeon dealing with cornea, cataract, and laser vision correction procedures. She has been performing all kinds of cornea, cataract, and Lasik surgeries for more than 15 years. She is a sought-after surgeon and admired by her patients for her skills and friendly nature. She is very meticulous in her work and believes in giving her best to each and everyone

Eye Problems In Work From Home Scenario During Corona Lockdown

Jul16

Abraham was experiencing an increasing discomfort in and around his eyes. Initially he was experiencing this eye discomfort at the end of the day. Gradually the duration, intensity and the episodes of eye discomfort became more pronounced. It started interfering with his work and he found it increasingly difficult to work and was often lagging on his deliverables. That is when he decided to contact me and consulted me through a teleconsult. He is just 32 years old and never needed glasses and had a wonderful eyesight. And this was one of the reasons that he was surprised why of all the people he was having such a bad eye discomfort. On being asked to give a detailed account of his eye discomfort, he mentioned that he experiences eye pain, his eyes turn red, his head hurts and often he is unable to maintain focus on his screen and his vision turns blurred. In the second half of his workday he needed to take frequent breaks to reduce the discomfort. He was quite distraught by the eye problems that he was facing. He was an overachiever and hated to be lagging on his work due to his eyes.

I am sure a lot of us can relate to this story. Abraham is not alone. These days most of the patients who consult me are having similar eye issues. Due to the lock-down and work from home scenario, the distinction between workday and leisure day has blurred. Most people are working more than 10-12 hours a day given that they are saving time not travelling. And to add to this, even the entertainment involves use of additional gadgets. So really, on an average most people are interacting with some or the other screen for more than 12-15 hours a day.

Let’s try to understand what happens to our eyes when we are glued to laptops, mobiles, and tablets for long hours.

Our Eyes develop what is called “Digital Eye Strain”
We experience one or all of the following symptoms
- Eye pain
- Redness
- Irritable eye
- Headache
- Pain around eyes
- Blurred vision
- Difficulty to focus on a near object
- Difficulty in changing focus from one object to another at a different distance
- Grittiness/ foreign body sensation
- Dryness in the eye
Eye discomfort is severe especially if the engagement with screens is without proper consistent breaks
Even Anti-glare glasses are of no use
Lubricating eye drops give temporary relief
Break from digital tools reduce the intensity of the eye symptoms temporarily

I have heard these things so many times that I feel that my response to such problems is sort of narrated.

Let us be honest- we all need to have a life beyond the gadgets. I know that many of you must be thinking, if not gadgets then what? Given the lockdown we cannot freely step out and indulge in other social activities. I get it and understand that the current situation is not necessarily the best time to reduce the use of gadgets. So truly, what is the solution to all these eye problems?

Reduce the amount of uninterrupted time with these screens- Take a short break after every 15-20 minutes.
Blink frequently- normally a person blinks 12-14 times per minute and this drops to 4-5 times when we are using gadgets. So, this means we need to consciously blink.
Adopt a proper posture while you are using these gadgets. Do not lie down or sit on a bed while you are working on your laptop or mobile
Ensure that you are wearing your prescription eyeglasses if you have any while you are working on these gadgets
Do not use excessive air conditioning and do not keep the temperature too low- Air conditioning use reduces the atmospheric humidity and that can enhance the eye dryness
Drink enough water
Use lubricating eye drops depending on your eye symptoms
You can use anti-glare glasses if your laptop/desktop already does not have an inbuilt glare protection. Blue light blocking glasses do not have much role here
Manage the contrast on your screen and the lightning conditions around you. Screen contrast should be just optimal. The light around you should not directly fall on your face or on the screen that you are using.
Keep a strict division of your workday and personal time and wind up your work by the decided time.
Rather than messaging your friends, call them up and have a conversation. That will be good for not just your relationship but will also reduce your screen time
Find alternative means of entertainment such as cards or board games with your family
Wear your masks and go out for walks in open spaces (Avoid any crowded places while walking)
Eat healthy nutritious food and sleep well
If none of this works then pay a visit to your eye doctor to rule out other eye diseases

To be honest, it is all about managing our lifestyle and leading a healthy well-balanced life. It is to a large extent in our own control. Let us all be more deliberate about what we do and how that may be impacting our eyes and overall health!

About Advanced Eye Hospital and Institute:

Advanced Eye Hospital and Institute in Navi Mumbai is one of the best eye hospitals in Mumbai. Eye check-up rooms and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalised care, infection free modular operation theatres and beautiful ambiance compliment the cutting-edge eye care offered at AEHI. It is one the eye hospitals where all the protocols are implemented to ensure safety of everyone from corona infection. All different super-specialist eye doctors like cataract, cornea, retina, glaucoma, lid surgeon, kids eye specialist, are present under the same roof. Besides treating patients from Kharghar, Nerul, Seawoods, Sanpada, Belapur, Vashi, Ghansoli, Airoli and Panvel, patients from all over western India travel to AEHI for world class eye care management.

About Dr. Vandana Jain

Delaying Eye Surgery In Times Of Corona Pandemic

Jul10

Mohan is an educated well-read 65-year-old gentleman. He can strike an intelligent conversation with anyone irrespective of the age or the background. I still remember the first time he had come for his eye check-up, a few years ago, he chatted with me regarding mechanism of vision and involvement of brain. I was very impressed by the depth and breadth of his knowledge. Without fail every year he would come for his eye check-up. On his last visit I noticed that the lens inside the eye was cataractous and was slightly swollen and was compressing the angles of the eye. I gave him the option to do a laser-based procedure called YAG PI or to go for early cataract surgery to prevent development of high pressure in his eye. He decided to go ahead with the surgery after a month as he had some urgent matter to settle.

Soon after Corona pandemic took hold and lockdown was announced. Luckily for him no adverse event occurred, and he restricted himself to his home on the earnest request of his children. After a month he developed an episode of pain and redness in the affected eye. He contacted me through a tele-consult. I realized that the lens may be pressing on the angle and his eye pressure may have shot up. I prescribed a few drops to reduce the eye pressure but asked him to come to the hospital for an immediate assessment. After a few days, his pain and redness settled down and he decided to postpone the visit to the hospital and carried on with his regular activities. One day he realized that the vision in that eye has dropped significantly. He again took a tele-consult with me. This time I insisted again and requested him to come to the hospital. Finally, after a lot of urging, he came to the hospital. Under all precautions, we performed a detailed eye check-up. His cataract had increased, and the angles of the eye were completely blocked, cornea (the front transparent part of the eye) was slightly oedematous and the nerve of the eye was also damaged. So, basically the delay in performing the surgery led to high pressure which caused the damage to the cornea and the nerve of the eye. We immediately prescribed medicines to reduce the eye pressure. Post that a combined cataract and glaucoma surgery was performed. Unfortunately for him there was a permanent reduction of vision in that eye due to an irreversible damage to the nerve of the eye.

Episodes like this are painful not just for the patients but for doctors alike! We could have prevented this from happening. I wished he had paid more heed to my advice! I can understand that the fear of the corona pandemic is causing many people to delay their treatments. And I think to some extent this mind set may be correct. We all need to reduce the unnecessary interaction with hospitals especially the ones where Corona patients are also being treated. I have written earlier about how to choose the right eye hospital for your eye treatment. Please read it here

It is important for us to understand that often seemingly minor health issues may lead to long standing problems. It is a good idea that even for minor persisting issues, we all get the opinion from the right doctor. A lot of issues can be sorted through tele-consults. As a first step if we fear going to the hospital, we can just do a tele-consult with our eye doctor. If the eye doctor is unable to conclusively ascertain the problem, he/she may ask you to come for an in-person evaluation. Seldom you may be advised an eye surgery as well.

I personally feel that if an eye surgery is required then it is better to discuss with your eye doctor in more detail about the pros and cons of doing it now versus after a few months. But the question is, Will the situation improve after a few months?

I have done some eye surgeries during this time and with the precautions and protocols we follow, none of my patients, my staff or me personally have developed any problem at all. We all have been safe and healthy. In fact some of my patients have commented that it was the perfect time for them as there was no crowding, no waiting in the hospital, doctor had more time, staff was more patient and caring, their children had more time to take care of them and they could adhere to precautions better as they were not actively venturing out of the house. Yes, sometimes even the dark clouds have silver lining in them!

If you really need to plan an eye surgery like cataract surgery, retinal detachment, injections for retinal oedema, glaucoma lasers etc, here are some of the things to know and understand-

Ascertain that your eye doctor and the staff at the eye hospital are following strict protocols, to ensure safety
There is no over crowding in any area of the eye hospital
Avoid hospitals where Covid positive patients are admitted
Go for day care eye surgery, where you are out of the hospital soon after completing your eye surgery.
Ensure that you are also adhering to all the precautions like good quality face mask, hand sanitization, and social distancing.

If we all adhere to the right protocols and take precautions, then none of us need to postpone essential surgeries. For all we know, it may be a prefect time to get rid of your eye problems and get a new vision!

About Advanced Eye Hospital and Institute:

Advanced Eye Hospital and Institute in Navi Mumbai is one of the best eye hospitals in Mumbai. Eye check-up rooms and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalised care, infection free modular operation theatres and beautiful ambience compliment the cutting-edge eye care offered at AEHI. It is one the eye hospitals where all the protocols are implemented to ensure safety of everyone from corona infection. All different super-specialist eye doctors like cataract, cornea, retina, glaucoma, lid surgeon, kids eye specialist, are present under the same roof. Besides treating patients from Kharghar, Nerul, Seawoods, Sanpada, Belapur, Vashi, Ghansoli, Airoli and Panvel, patients from all over western India travel to AEHI for world class eye care management.

About Dr. Vandana Jain

Dr Vandana Jain – Lasik Surgeon expert

Role Of Telemedicine For Eye Problems In Corona Affected World

Jun30

World is seeing something completely unprecedented. With the ongoing Corona Pandemic, and restricted mobility, many things have changed. Children learning from home with online classes, adults working from home and seniors consulting their doctors from home using Telemedicine. All this had been unprecedented! But as the wise men say” Change is the Only Constant”. As a practising Eye Doctor, I have embraced teleconsultation Technology. For me, the purpose is straight forward. I want to be available to my patients.

I frequently get worried calls from my patients and how they are unable to travel for the fear of contracting the corona virus infection. Sometimes it is the fear and sometimes it is the lockdown in their areas. Nevertheless, I think telemedicine is a great boon in times like this. So, the big question is- what kind of eye problems are amenable to Video based teleconsultation.

Follow-up Eye consultations–
1. Often eye doctors call their patients for follow-ups after prescribing initial treatment for various eye problems like eye irritation, dryness, eye strain, headaches, redness, itching etc. The aim here is to ensure that patient is symptomatically better and modify treatment, should the evaluation demand that. These kinds of patients can easily follow up with their doctors via teleophthalmology. In most cases review is possible through just a video-based consultation
1. Follow-ups after surgery- After surgeries like cataract surgery and Lasik surgery, doctors ask their patients to follow up at regular intervals. Unless it was a complicated case, most of these patients can follow up via tele-consult in the initial period.

First time Eye Problems– Issues like eye redness, irritation, stickiness, itching, eye strain etc are suitable for tele-consult. These days a lot of people including children are glued to screens for long hours and this leads to myriad of eye problems. The advantage of teleconsult is that doctors can judge the problems and often give the right advice and prescribe the appropriate treatment. And even if doctor does not feel comfortable prescribing after the teleconsult, at least as a patient you get to know that you really need to get your eyes examined in person by the eye doctor. So indirectly teleconsult is a good triage for deciding which patient is suitable for treatment via teleconsult and which patient needs to physically come to the hospital and get examined in person

Now this also brings home the question- which kinds of eye problems may not be suitable for tele-consult.

Sudden vision loss– most of the time sudden vision loss is a medical/ surgical emergency and needs a detailed examination by the doctor so that appropriate treatment can be started within the right and in most cases limited time window.
Eye Injury– Injury to the eye by blunt or sharp objects have a propensity to cause severe damage to the eye. These also needs to be diagnosed and treated at the earliest.
Sterilization liquid splash in the eye– Sterilizers are made of chemicals which can cause severe damage to the surface of the eye. Often, we need to diagnose the severity and treat accordingly. Very rarely emergency surgery may be required
Vision related problems– Vision related problems like reduced vision, double vision etc needs an in-person check-up with the eye doctor. Change of glasses, progression of cataract, diabetic retinopathy or any other retina problem- all these can be evaluated by using some examination and diagnostic tools.
Headache, dizziness along with reduced vision– There are several eye related causes for these. The actual reason can be ascertained only after in person examination.

So, a lot of eye problems are amenable to tele-consult. The biggest advantage is that teleconsultation is not constrained by time, place, or availability. It is a great option for people who live in remote places or those who need a second opinion from the super specialist eye doctors. In most cases, it is easy to get an immediate teleconsultation with an eye doctor. Even in worst possible cases, one gets to know that they need to physically go to their eye doctors.

About Advanced Eye Hospital and Institute:

About Dr. Vandana Jain

Taking Care Of Your Childs Eyes In Times Of Corona Lockdown

May9

Life has changed a lot due to the corona virus Pandemic. And this is no less true for school children who are forced to take online classes. With new changes comes new behaviours and often new challenges. I as a practising Eye doctor have been getting incessant calls from anxious mothers about the concerns of safety for their children’s eyes. My child is experiencing more headaches, my child’s eyes are red, my child is unable to see clearly by evening, my child is rubbing the eyes all the time! These and many more have been the concerns of doting mothers. So, what has changed compared to before. For children a lot, I guess! Suddenly from sitting in classes with friends, they are sitting at home with computers and laptops and taking online classes. The amount of time they are spending with different gadgets has gone up disproportionately. Besides their online classes, they are doing homework on computers and then probably also spending some time playing with mobile phones since right now they do not have the freedom to step out and play with their friends.

Is this the reason for the symptoms that children are experiencing these days? To be honest the answer to that is yes, majority of symptoms are probably because of the large amount of time that children are spending on computers, laptops, and mobile phones. Tiredness of eyes, temporary weak vision, dry, irritated eyes, light sensitivity & muscular problems are some of the common conditions caused by excessive computer use and are collectively known as Computer Vision Syndrome.

Staring at a monitor for long hours is like doing continuous push-ups of the focusing muscles, leading to burning & tired eyes. A dry environment & dehydration are two other culprits at the workstation that can worsen the problem. Also, children often forget to blink when they are looking at the computer screen.

Common symptoms include:

Eyestrain
Headaches
Blurred vision
Dry eyes
Neck and shoulder pain.

These symptoms may be caused by:

Poor lighting in the surrounding
Glare on the computer screen
Improper viewing distances
Poor seating posture
Uncorrected vision problems
Not using prescription glasses
Excessive amounts of time staring at the screen
Incomplete and insufficient blinking
Pre-existing eye allergies
Combination of these factors

So, what can be done to take care of the child’s eyes while they cannot avoid using computer for their school classes

Location of computer screen – The computer screen should be 15 to 20 degrees below eye level (about 4 or 5 inches) as measured from the center of the screen and 20 to 28 inches away from the eyes.
Lighting – Position the computer screen to avoid glare, particularly from overhead lighting or windows. Use blinds or drapes on windows.
Seating position – child should be using a chair table and not bed while using laptops etc. Chairs should be comfortably padded and conform to the body.
Rest breaks – To prevent eyestrain, child should rest their eyes in between. They can close their eyes when only discussions are going on and they do not need to actively look at the screen. Intermittently children should look at a distant object to change the focus of their vision from a nearby screen to a distant object.
Blinking – To minimize chances of developing dry eye children should consciously blink in between. Blinking keeps the front surface of your eye moist.

Lubricating eye drops– If nothing else works then lubricating eye drops can be used intermittently

Additionally, if a child has glasses, they should be wearing it while looking at the screen. If you notice excessive headaches even after following these steps, then your child may have a change of eye power and a visit to an eye doctor may help in that case. Parents need to monitor and educate children on healthy practises while using gadgets to prevent these side effects of using too much technology.

About Advanced Eye Hospital and Institute:

About Dr. Vandana Jain

Expert Lasik Surgeon

Can Contact Lens Increase Your Risk of Contracting Corona Virus?

Apr17

With the ongoing COVID-19 pandemic, a lot has changed for us. The way we shop, way we spend our time and the way we work, everything has changed to ensure our safety and effectiveness. It is natural that during these times we want to be sure that we are not doing anything to increase our risk of contracting corona virus infection.

Swarna consulted with me over a video call. She has high myopia and wears contact lenses daily especially during her work hours to avoid wearing glasses with thick lenses. She does not feel confident especially in her work atmosphere with her thick glasses. Now due to the ongoing Corona virus lock down, she has switched to working from home. However, due to virtual meetings, she was still wearing contact lenses while carrying on with her work-related activities. She was comfortable until one day she read somewhere that wearing contact lenses can increase her risk of contracting the corona virus infection. She panicked and booked an online tele-consultation with me.

best laser surgery hospital in mumbai

I can understand the concerns of people like Swarna. Overall instructions are to avoid touching your hands to your eyes, nose, or mouth. The basic reason for that is any kind of mucous membranes (membranes that line various cavities in the body) can allow the virus to enter the human body. I had earlier written about Can Corona virus affect our eyes? You can read it here- https://storiesfromaneyehospital.wordpress.com/2020/03/25/can-corona-virus-affect-our-eyes/

Coming back to Swarna’s concerns. The simple answer to this is that there is no problem and she can continue wearing contact lenses. Contact lens wearing will not by itself increase the risk. Contact lens wearers touch their faces and eyes while wearing or removing contact lenses. So, contact lens wearers must always maintain excellent hygiene. This is the basic list of do’s and don’ts while using contact lenses.

Meticulous hand washing– It is imperative that contact lens wearers wash their hands thoroughly with soap and water for at least 20-30 seconds and then dry it with clean tissue paper. This practice should be implemented prior to wearing contact lenses and before removing it from the eyes. Unclean hands should not be used to touch the face or the contact lenses.
Contact lens hygiene– contact lenses should be meticulously cleaned and disinfected as advised by the eye doctor. The contact lens case also should be cleaned regularly, and contact lens solution in the case should be changed daily.
Eye Irritation– any kind of eye irritation and eye dryness causes people to touch their eyes more frequently and often unconsciously. Now if you are one of those who continue to get the urge to touch the eyes due to your eye irritation then it is better to avoid wearing contact lenses. Preservative free lubricating eye drops can be used to soothe the eyes and reduce the eye dryness. If it does not help, then it is better to discontinue wearing contact lenses.
Discontinue lenses if sick– if you are down with fever or cold or any form of eye redness and eye irritation, it is better to avoid wearing contact lenses. Let your body recover from these flu-like symptoms prior to resuming your contact lens wear.

On one hand wearing contact lenses with proper care is fine on the other hand wearing glasses will not protect you from getting the infection if you do not practice good hygiene. It is important that we develop hygienic practices, avoid touching our hands to our face or eyes, wear a face mask when we step out and eat healthy to reduce our chances of getting infected with the COVID-19 virus.

About Advanced Eye Hospital and Institute:

About Dr. Vandana Jain

Dr Vandana Jain – Lasik Surgeon expert

SMILE LASIK Surgery: Why Youngsters are opting for bladeless spectacle removal procedure?

Mar22

Youngsters or the millennials as they are called is the group of citizens who have one of the most active lifestyles. Youngsters also seem to be high on energy and evidenced to have better immunity. The generation is constantly a topic of discussion for their short attention span, mindset towards quick results, quick fixes and instant recovery etc.

Given the above scenario, youngsters prefer a vision correction procedure which is less invasive, gives more comfort, heals faster and which also reduces the possibility of any kind of aftereffects such as dry eyes or red eyes.

There are many kinds of Lasik eye operation procedures now available in India. However, one of the most advanced laser vision correction procedure which is easy on the pockets of the youngsters and also precise with its results is SMILE surgery procedure, SMall Incision Lenticule Extraction.

Smile

What is SMILE Surgery Procedure?

SMILE is a one step, one laser, minimally invasive procedure. During a SMILE procedure, your surgeon will use computer guided, highly focused laser light to cut a tiny incision in the cornea and will use it to remove a small piece of corneal tissue (called a lenticule).

SMILE Surgery is a very comfortable vision correction procedure

Many of the young patients prefer SMILE procedure because it is a very comfortable procedure to undergo. It is virtually painless. The reason it is comfortable is because the ZEISS VisuMax femtosecond laser has a very low suction effect on the eye unlike some of the other lasers procedures which create flaps and cause excessive pressure on the eyes.

SMILE is the 3^rd generation vision correction procedure & minimally invasive

Also, many of the patients choose to undergo SMILE procedure as they may not be suitable for LASIK or Femto Lasik procedure which essentially are invasive procedures as large flaps are created on the cornea.

In SMILE surgery, a key hole of 2mm size is created on the corneal surface and a lenticule is extracted to correct the vision. In the ReLEx SMILE procedure bio mechanical strength of cornea is better preserved. The SMILE procedure is also simple and easy to perform. Once the keyhole incision is made, the doctor removes the lenticule to change the shape of the cornea. ReLEx SMILE procedure is approved by the US FDA and is very safe and reliable.

The minimal invasive procedure helps keep the vision stable for a longer period and it helps youngsters move ahead successfully in their life (H2)

Many of the young patients often ask – how long will the results of SMILE vision correction procedure last?

The results of a laser-based vision correction procedure such as SMILE are permanent, and this is the reason why there are more than 1.5 million patients worldwide who have undergone this vision correction procedure.

The only reason why the results of SMILE procedure will change is when the prescription changes.

The laser-based vision correction process, which is flapless and bladeless is also less expensive

The 3^rd generation femtolaser is now available in all the cities across India and this has made the process in expensive and easily accessible.

The youngsters in Navi Mumbai, Mumbai & Pune, can walk-in to popular eye surgeon at AEHI, Dr Vandana Jain and get their eyes checked and also after a thorough consultation with the doctor, decide if they are ready for the vision correction procedure.

About Dr. Vandana Jain

Dr. Vandana jain is an experienced eye surgeon dealing with cornea, cataract and laser vision correction procedures. She has been performing all kinds of Lasik surgeries for than 15 years. From Conventional lasik, surface ablation, PRK, LASEK, Femto Lasik (Bladeless Lasik) to SMILE Lasik, she regularly performs all of these procedures. She is a sought-after surgeon and admired by her patients for her skills and friendly nature.

Dr Vandana Jain – Lasik Surgeon expert

About Centre for Lasik Surgery at Advanced Eye Hospital and Institute

Centre for Lasik Surgery at Advanced Eye Hospital and Institute located in Sanpada, Navi Mumbai is one of the most advanced centre for all those who want to get freedom from glasses. All kinds of advanced procedures like Lasik, Femto Lasik, PRK, ASA, Smile Lasik, Phakic IOL’s Like ICL etc are performed at the centre. Patients from Vashi, Chembur, Thane, Powai, Sanpada, Seawoods, Nerul, Belapur, khargar, Panvel, Airoli regularly visit the lasik surgery centre for glass removal

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Watch Dr Vandana Jain, Lasik Surgeon talk about Lasik surgery

Watch Video of Best Smile Lasik Surgery by Dr Vandana Jain

To contact Best Hospital for Smile Lasik Surgery in Navi Mumbai-

Types of LASIK Surgery at AEHI

Jul12

Lasik procedure reduces the dependence on eyeglasses and, contact lens by correcting the refractive error . Lasik surgery continue to have a positive impact on millions of people world over.

Best LASIK Surgery Navi Mumbai

Prior to current developments in the eye care technology, vision-correcting surgery was considered risky. However, with further advances and newer technology ,LASIK surgery is safe and reliable procedure given a detailed pre lasik evaluation determines the suitability for Lasik.

LASIK surgery at Centre for Lasik Surgery at Advanced Eye Hospital at Sanpada in Navi Mumbai, has all the answers and customized treatment for all your eye problems across the demographics.

Most patients aren’t aware that there are different types of LASIK from which they can benefit from.

Standard LASIK, as self explanatorily, indicates traditional LASIK corrects refractive errors such as myopia, hyperopia, and astigmatism. Standard or Traditional LASIK is suitable for anyone who wants to have vision correction surgery for refractive errors aforementioned and provided the results for pre-LASIK evaluation tests are all normal. To understand more about precautions and instructions, for before, during and after the LASIK surgery, one can avail all the information here.

Custom LASIK is also known as Wavefront guided LASIK. Wavefront guided LASIK uses a wavescan aberrometer that provides information about the aberrations in the optical system of human eye. With Wave-front guided lasik any significant aberrations can be reduced. This in turn reduces the propensity for the halos around the lights, double vision, night glare, contrast, and starbursts.

In short, custom wavefront guided LASIK can provide you:

Patients high likely to have sharp vision of 6/6/ or better
Lower risk of losing vision quality or contrast sensitivity
Lesser possibility of developing night-vision disturbances and glare

ReLEx SMILE LASIK

SMILE Lasik (Relex Smile) is the most advanced LASIK lasers which is quick and precise procedure that does not create flap like the LASIK or Femtolasik. Additionally, SMILE Lasik does not induce any spherical aberrations as the zone of disc cutting is very well defined and no laser energy is lost in the peripheral part of the treatment. This makes Relex SMILE Lasik one of the safest, quickest and most comfortable (for patient) Lasik lasers.

However, there are other laser corrective surgeries like Photorefractive keratectomy (PRK), which is suitable for patients with thin cornea. PRK corrects mild to moderate myopia, hyperopia and astigmatism, with high level of safety and efficacy. An eye surgeon often prefers this type of surgery for patients with high risk of traumatic postoperative flap dislocation, for military pilots or professional athletes.

While a patient has all the access to research various options for his eye operation, we urge them towards the detailed pre lasik evaluation to find and evaluate the health of their eyes. This will help in personalizing which type of surgery or treatment will be suitable for the patient.

Lasik Surgery Center

About Centre for Lasik Surgery at Advanced Eye Hospital and Institute at Sanpada, Navi Mumbai: Centre for Lasik Surgery at Advanced Eye Hospital and Institute is a state of art center for all those who want to get freedom from glasses. It is one of the most advanced centres for glass removal in western India.

All different procedures like Lasik, Femto Lasik, PRK, EpiLasik, ReLEx Smile Lasik, LasikXtra and ICL implantation are available under one roof. It has become very popular and trusted center for the residents of Vashi, Sanpada, Nerul, CBD Belapur, Kharghar, Panvel, Koparkhairane, Chembur and other parts of Navi Mumbai and Mumbai.

Expert Lasik Surgeon

Advanced Eye Hospital And Institute (AEHI) can be reached at (O): +91 22 67313636, (Emergency): +91 9167360360 or even through Email: contactus@advancedeyehospital.com
Or you can make an appointment online by visiting our website

Patient satisfaction after Lasik surgery for glass removal

Jun27

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What is LASIK?

Lasik is a laser based surgery which helps in reducing eye power by altering corneal curvature. Millions of people worldwide have undergone Lasik surgery and got freedom from glasses. It has become a preferred option for many people to get reduced dependence on glasses.

Patient satisfaction after LASIK:

Quality of vision and patient satisfaction after LASIK is difficult to assess as so many factors and parameters must be considered to accurately measure these endpoints. Till date all the surveys that have been conducted so far have shown an overwhelming 90-95% happy and satisfied patient with their results after Lasik. Even though 95% is a great percentage however as a Lasik Surgeon the question is why 100% people are not satisfied after the Lasik surgery? I think again and always ended up with various factors that play a role which I have enlisted below.

Factors to be considered for Lasik:

Pre-existing variables:

Patient age
Decreased Corneal Toricity
Increased pupil size.
Night vision symptoms.
Dry Eyes
Reduced contrast sensitivity

Surgical factors:

Decentration
Ablation-zone size
Active eye tracking etc can affect quality of vision.

These factors can impact patient satisfaction. Controlling these factors thus can improve patient satisfaction. One of the good things is that with newer and more advanced surgeries like wave front guided femto Lasik, Relex Smile Lasik, Topography guided advanced surface ablation can minimize some of these issues. However a lot also depends on the patient expectations and the possibility of good outcomes after the surgery given the variables which may be case based.

Few patient stories and how Lasik changed their life positively:

A 35 yr old who decided to change careers after lasik:

I often remember Ram’s story when I think about patient satisfaction after Lasik surgery. He came to Advanced Eye Hospital and Institute in Navi Mumbai to explore the option of Lasik surgery. He wanted to learn swimming and wanted to go for diving and decided to get freedom from glasses. A detailed pre-Lasik evaluation was done for him. He was 35 years old and had a moderate myopia. His pupil size was 7.1 mm. Rest of the pre-lasik tests were all good. He wanted to get Femto Lasik done. I discussed with him the possibility of more night vision issues such as glare due to the large pupil size after femto Lasik. He understood the consequences ad still opted to go ahead with the Femto Lasik surgery. He had been one of the happiest people that I have seen after the Lasik surgery. His first diving experience was so awesome that he actually decided to change his profession and got certified to become a profession diver.

In case of Ram the satisfaction was 100%. Such experiences are a delight for Lasik surgeons like me. Similar such patient satisfaction outcomes spring from life changing experiences for many of our patients who undergo Lasik surgery.

2. How Lasik helped Swapnila gain her self-esteem:

Swapnila had always worn thick glasses and in her mind she was an ugly girl. This led to a low self-esteem and affected her entire life style. After her Lasik surgery she started dressing up better. Her outlook and self-image changed completely. She suddenly realized that she is a very pretty girl. Within a year of her Lasik she got married to her prince charming that she had dreamt about and today lives a very happy life. So whether it is a change of profession or change of self-image, Lasik surgery impacts the lives of many such people in a very positive manner. These are the cases where I think the satisfaction rate is more than 100%. Even though they may have some small eye issues after Lasik surgery but the impact on their life is so great that they do not let these minor issues take away their happiness and satisfaction from the procedure.

Perfect yet Imperfect!!

Lasik surgery is not a perfect surgery and has its own limitations. It is important for everyone who is considering Lasik surgery to understand all the nuances, have detailed discussions with their doctors and set their expectations right. Dissatisfaction stems from this mismatch of expectations and actual outcomes after the Lasik surgery.

Dr Vandana Jain – Lasik Surgeon expert

About Dr. Vandana Jain: Dr. Vandana Jain is an expert Cornea and Lasik surgeon. She has vast experience of performing laser vision correction procedures over a decade. She is well versed with all the latest techniques and advancements in laser vision correction procedures like LASIK, Femto Lasik, Smile Lasik, PRK, etc. Dr. Jain ensures that all the patients undergo a detailed pre Lasik evaluation and then the best procedure and the technique is chosen for the patient to get satisfying results and to ensure long term safety.

Lasik Surgery Center

About Center for Lasik Surgery at Advanced Eye Hospital and Institute: Center for Lasik Surgery at Advanced Eye Hospital and Institute is one of the best LASIK surgery centers, a modern, well-equipped advanced center for all those who wish to get a laser vision correction procedure done. A very detailed protocol based and meticulous pre-Lasik evaluation is done for all the patients. The advanced equipments like corneal topographer, corneal tomographer, IOL Master, A scan, B scan and OCT machines help us with detailed measurements. The aim is to choose the best procedure for all the patients. AEHI caters to patients from all over Navi Mumbai such as Vashi, Nerul, Kharghar and Panvel besides people traveling from all over western India and the World.

Advanced Eye Hospital And Institute (AEHI) can be reached at (O): +91 22 67313636, (Emergency): +91 9167360360 or even through Email: contactus@advancedeyehospital.com

Or you can make an appointment online through this link: BOOK AN APPOINTMENT

Or fill up this form

Dr Vandana Jain, Cornea and Lasik Surgeon, Mumbai, India

A Lasik Surgeon tells you all you ever wanted to know about laser Eye Surgery

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Patient satisfaction after Lasik surgery for glass removal

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