Tag Archive | teleconsultation

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

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:

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. 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.

Best Lasik surgeon Navi Mumbai

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.

Role Of Telemedicine For Eye Problems In Corona Affected World

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.

  1. 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.

  1. 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.
  2. 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.
  3. 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
  4. 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.
  5. 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:

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. 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 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.