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General Opthalmology

Taking care of your eyes is an important part of maintaining good health.

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Retina Services

Retinal Service provides highly specialized diagnosis and treatment of complex diseases of the retina...

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Lasik Treatment

LASIK is a surgical procedure that uses laser to correct nearsightedness, farsightedness, and/or astigmatism.

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Cataract Treatment

Opacification of transparent lens in our eye is called Cataract. The cataractous lens is broken ...

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About RG Eye Care

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consultation

Dr. R Gangadharan

Ophthalmologist/ Eye Surgeon

MBBS, DO, DNB, FAGE
Fellowship in Retina

Comprehensive Eye Checkup

What is Comprehensive Eye Checkup?

Caring for your vision doesn't begin and end with eyeglasses, contact lenses and corneal modification surgeries like LASIK. There are many other things you can do to maximize and protect the vision you currently have. An essential component of healthy vision is a yearly comprehensive eye examination. Optometrists detect and treat problems and conditions of the eye and can help you get the most from your vision. Optometrists can also diagnose systemic health problems that require treatment by your primary care physician. Periodic eye and vision examinations are an important part of preventive health care. Many eye and vision problems have no obvious signs or symptoms, so you might not know a problem exists.

Early diagnosis and treatment of eye and vision problems can help prevent vision loss. Each patient's signs and symptoms, along with your optometrist's professional judgment, will determine what tests your optometrist conducts.

Comprehensive eye check-up includes,

  • Refraction - To check the refractory Status of eye , prescription of Spectacles
  • Intra Ocular pressure checking
  • Retinal Examination

Recommended Eye Examination Frequency

Age Risk Free At Risk
Birth to 24 Months At 6 months of age By 6 months of age or as recommended
2 to 5 years At 3 years of age At 3 years of age or as recommended
6 to 60 years Every two years Every one to two years or as recommended
61 and older Annually Annually or as recommended

Pediatric Ophthalmology

Recommended Eye Examination Frequency

Kids are always special to us. So is their vision more precious. If a kid cannot see clearly, they do not realize it and they think everybody sees like that. If you are a spec wearer or ask your friend who has specs, they will acknowledge the same.

All kids need to be checked around 5 years even if they do not have visual complaint. Ideally In a clinic with individual attention. Around 30-40 % of kids need specs. Around 10% kids never realize that they need to have specs. 1-2% become amblyopic (lazy eye).

Squint is another common pediatric problem we have a solution for it. We have Orthoptics Exercises to Surgical interventionas treatment options.

cataract surgery

No Pain, No Injection Cataract Surgery

"CATARACT" is clouding of lens in the eye which leads to a decrease in vision. Cataracts often develop slowly and can affect both eyes. Symptoms may include faded colors, blurry vision, halos around light, trouble with bright lights, and trouble seeing at night.   

Opacification of the transparent lens in our eye is called CATARACT. The Cataractous lens is broken into multiple pieces, emulsified and sucked out of the eye through a micro incision followed with an Artificial Intra Ocular Lens (IOL) is Implantation.

State of art cataract surgery is available with us. Microincision Phacoemulsification cataract surgery with foldable IOLS to LASER CATARACT SURGREY for a speedy recovery.

Phacoemulsification

A variety of options are available for IntraOcular Lenses. A detailed examination and discussion will allow for the bestpossible option for every individual patient. Customized services in helping the patientto restore and add value to vision with ultra modern technology has always keptour patients happy. 

LenSX Procedure

Glaucoma services

A Silent Killer of Vision

Glaucoma is known as a silent killer of the eye as the patient loses vision over a period of time without their knowledge. In this condition, the Intraocular Pressure is more for the Eye, which gradually compromises the nutrient supply to the OPTIC NERVE (the nerve responsible for vision) which eventually leads to decrease in vision. As the nerve is affected, It can lead to INCURABLE BLINDNESS.   

So the key lies in EARLY DETECTION. Glaucoma is detected through a comprehensive dilated eye examination that includes the following:

  • Visual acuity test - This eye chart test measures how well you see at various distances.
  • Visual field test - This test measures your peripheral (side vision). It helps your eye care professional to diagnose if you have lose of peripheral vision, a sign of glaucoma.
  • Dilated eye examination - In this examination, drops are placed in your eyes to widen or ordilate the pupils. Your eye care professional uses a special magnifying lens to examine your retina and optic nerve for signs of damage and other eye problems. After the examination, your near vision may remain blurred for 3 to 4 hours.
  • Tonometry - It is the measurement of pressure inside the eye by using an instrument called a TONOMETER. 'Numbing' eye drops may be applied to your eye for this test. Tonometer measures pressure inside the eye to detect Glaucoma.
  • Pachymetry - It is the measurement of the thickness of your cornea. Your eyecare professional applies a numbing drop to your eye and uses an ultrasonic wave instrument to measure the thickness of your cornea.

RISK FACTORS

  • Age above 40
  • Family history of Glaucoma increases the risk many folds
  • Myopia (high minus power specs)
  • Injury to eye

SYMPTOMS - present in late stages only; Mostly Asymptomatic

  • Headache
  • Recurrent redness in eye
  • Decreased vision
  • Watering
  • Haloes

TREATMENT

A spectrum of treatment modalities are available for Glaucoma. Your doctor will decide on the best depending on your condition.

  • TOPICAL MEDICATIONS – Most patients are treated with Eye drops. Due to a lot of innovations in this area, most patients’ IOP is well controlled.
  • LASERS – in some types of Glaucoma, Laser is the primary treatment of choice.
  • SURGICALTREATMENT – Now a days, surgery is the last option when all other treatment modalities failed.

We have a Glaucoma specialist visiting our hospital when tertiary intervention is needed.

Diabetic eye care

Chronically high blood sugar from diabetes is associated with damage to the tiny blood vessels in the Retina, leading to Diabetic Retinopathy. The Retina detects light and converts it to signals which is sent through the optic nerve to the brain. Diabetic retinopathy can cause blood vessels in the Retina to leak fluid or hemorrhage (bleed) leading to distorting vision. In its most advanced stage, new abnormal blood vessels proliferate (increase in number) on the surface of the Retina, which can lead to scarring and cell loss in the Retina.

  • Diabetic Retinopathy may progress through four stages:
  • 1. Mild Non-Proliferative Diabetic Retinopathy.
  • 2. Moderate Non-Proliferative Diabetic Retinopathy.
  • 3. Severe Non-Proliferative Diabetic Retinopathy.
  • 4. Proliferative Diabetic Retinopathy (PDR). At this advanced stage lead to permanent vision loss.

Normal Retina

Mild NPDR

Moderate NPRD

Severe NPDR

Proliferative Diabetic Retinopathy (PDR)

PDR is the more advanced form of the disease. At this stage, circulation problems deprive the retina of oxygen. As a result new, fragile blood vessels can begin to grow in the retina and into the vitreous, the gel-like fluid that fills the back of the eye. The new blood vessels may leak blood into the vitreous, clouding vision.

Diabetic Macular Edema

Diabetic Macular Edema is the build-up of fluid (edema) in a region of the retina called the Macula. The Macula is important for the sharp, straight-ahead vision that is used for reading, recognizing faces, and driving. DME is the most common cause of vision loss among people with Diabetic Retinopathy.

About half of all people with diabetic retinopathy may develop DME. Although it is more likely to occur as Diabetic Retinopathy worsens, DME can happen at any stage of the disease.

Who is at risk for Diabetic Retinopathy?

People with all types of Diabetes (type 1, type 2, and gestational) are at risk for Diabetic Retinopathy. The longer a person has Diabetes higher is the risk. Between 40% to 45% of people diagnosed with Diabetes have some stage of Diabetic Retinopathy, although only about half of them are aware of it. Women who develop or have diabetes during pregnancy may have rapid onset or worsening of Diabetic Retinopathy.

Longer the Diabetic Life Higher the risk. When the Sugar control is stable, risk is lesser.

Early detection is the key to prevention of Incurable Blindness.

Symptoms & Detection

The same scene as viewed by a person normal vision (Left) and with(Center) advanced Diabetic Retinopathy. The floating spots are hemorrhages that require prompt treatment. DME (Right) causes blurred vision.

The early stages of Diabetic Retinopathy usually have no symptoms. The disease often progresses unnoticed until it affects vision. Bleeding from abnormal retinal blood vessels can cause the appearance of “floating” spots. These spots sometimes clear on their own. But without prompt treatment, bleeding often recurs, increasing the risk of permanent vision loss. If DME occurs, it can cause blurred vision.

Laser treatment, Intra-vitreal injections and surgery are the options of treatment.

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