The Department Of Ophthalmology at Shaiv Hospital strives to consistently get complete care and healing for the patients. Our experienced Ophthalmologists get you the best service possible. Our multi specialty group of doctors work in an integrated environment to provide the highest quality care for all our patients. The department is equipped with the latest diagnostic and surgical facilities which helps the doctors execute procedures ranging from routine eye examination cases to the most complex surgical cases.
We try to find the root cause of the problems that are affecting your eyes. Thus we at Shaiv Hospital not only treat the primary problems related to the eye but also systemic diseases such as diabetes, thyroid disorders, autoimmune conditions, stroke etc.
We aim to provide Comprehensive Ophthalmology Care for our patients.
We provide a complete bouquet of services starting from the most basic that may be needed by the patient. These include: Screening and treatment for common eye diseases (e.g., cataract, glaucoma, diabetes-related eye problems, , hypertension, thyroid) Spectacle and Contact Lens prescriptions, Evaluation of patients who may have visual loss or complaints but do not know the diagnosis etc.
Thus we serve as the specific entry point for people who need medical attention and treatment. The patient gets to feel the difference vis a vis treatment from other hospitals. It is not only what is treated but how it is being treated. We comprehensively evaluate the patient and then make a highly individualized treatment plan to ensure speedy and healthy recovery of the patients.
Our continued commitment to Health Care helps us make a positive difference in patients lives.
The various Ophthalmology services provided by the hospital are as follows
Cataract - Congenital and Acquired
Cataracts occur when there is a buildup of protein in the lens that makes it cloudy. This prevents light from passing clearly through the lens, causing some loss of vision. Since new lens cells form on the outside of the lens, all the older cells are compacted into the center of the lens resulting in the cataract.
If your vision can be corrected to an acceptable level with a change in prescription, eyeglasses, including bifocals or contacts, may be prescribed, eliminating the need for surgery at that time.
If your vision loss cannot be corrected with new glasses and cataracts interfere with your daily life, you may be a candidate for cataract surgery, which involves removing the clouded lens and replacing it with a clear, artificial one
Glaucoma
A disease that often goes undetected till the advanced stages, Glaucoma is often asymptomatic other than gradual visual loss. It leads to irreversible optic nerve damage and gradually blindness.
We offer comprehensive consultations and long-term follow-up care for glaucoma patients including medical, laser, and surgical treatment. Our services treat the complete range of glaucoma related conditions, including:
- » Open-angle Glaucoma
- » Angle-closure Glaucoma
- » Secondary Glaucoma
- » Exfoliation Glaucoma (Pseudoexfoliation Syndrome)
- » Glaucoma associated with retinal diseases
- » Juvenile onset Glaucoma
- » Neovascular Glaucoma
- » Childhood Glaucoma
Our physicians first consider all non surgical options. For patients who have surgery in the operating room; they can expect exceptional, personalized care from our staff.
- » Automated perimetry
- » Color vision testing
- » Visual Field Testing
- » Pachymetry to measure corneal thickness, an important risk factor
- » Intraocular pressure measurement ( Applanation Tonometry)
- » Frequency Doubling Perimetry
- » Heidelberg retinal Tomography (HRT II)
- » Optical Coherence Tomography ( OCT)
- » Optic Disc and Fundus Photography
Glaucoma that is resistant to medical treatment can be treated surgically. Glaucoma surgical services performed include:
- » Combined phacoemulsification (small incision cataract surgery), intraocular lens implantation, and trabeculectomy (glaucoma surgery)
- » Trabeculectomy
- » Glaucoma implant surgery (tube or shunt surgery)
- » Goniotomy (for specific childhood glaucomas)
Glaucoma laser services include:
- » Cyclophotocoagulation
- » Laser iridectomy
- » Laser trabeculoplasty
Diabetic Retinopathy
Diabetic retinopathy, is retinopathy (damage to the retina) caused by complications of diabetes, which can eventually lead to blindness.
It is an ocular manifestation of diabetes, a systemic disease, which affects up to 80 percent of all patients who have had diabetes for 10 years or more. Despite these intimidating statistics, research indicates that at least 90% of these new cases could be reduced if there was proper and vigilant treatment and monitoring of the eyes. The longer a person has diabetes, the higher his or her chances of developing diabetic retinopathy. Each year in the United States, diabetic retinopathy accounts for 12% of all new cases of blindness. It is also the leading cause of blindness for people aged 20 to 64 years.
Laser Treatment : There are well-defined criteria for laser therapy. Laser therapy is done when there is significant maculopathy, or when there are significant new blood vessels in the retina or iris.
Anti-VEGF agents (Lucentis, Avastin, Macugen) : These agents are being used in some selective cases alone or in addition to laser treatment or surgery.
Surgery : Vitrectomy surgery and other additional procedures may be required to manage the complications of diabetic retinopathy, like vitreous hemorrhage, retinal detachment, severe macular edema, etc.
Low Vision
Low vision is a term that refers to vision 20/70 or worse that cannot be fully corrected by glasses or contact lenses. People with low vision fall into two groups: partially sighted (meaning they have a visual acuity between 20/70 and 20/200 with the aid of corrective lenses), or legally blind (meaning vision is no better than 20/200 with regular correction aids).
Low vision cannot be fully corrected. However, there are a wide array of devices to help people with low vision, including magnifiers and reading prisms, large-print reading materials, high-contrast watches, and machines that talk.
Difficult Contact Lens Problems
Contact lens problems range from mild irritation and discomfort, to serious and potentially sight-threatening infections.
There are plenty of things you can do to avoid contact lens irritation and discomfort. Caring for your contact lenses and using them properly will help to avoid many problems, including infection.
A change in the type of contact lenses, or getting your prescription updated, may also help to relieve contact lens irritation. You could also consider laser eye surgery as a permanent solution to contact lens discomfort
Dry Eyes
When tears do not adequately lubricate the eye, a person may experience:
- » Pain
- » Light sensitivity
- » A gritty sensation
- » A feeling of a foreign body or sand in the eye
- » Itching
- » Redness
- » Blurring of vision
The different treatment for dry eyes that we follow are:
- » Artificial tear drops and ointments.
- » Non-dissolving punctal plugs and punctal occlusion by cautery (application of heat to tear exit duct).
- » Lipiflow
- » Restasis
- » Other medications and nutrition.
Neuro-Ophthalmology Problems
Neuro- Ophthalmology is a subspecialty of Ophthalmology and Neurology dedicated to managing disorders of the eye caused by or associated secondarily with diseases of the brain, brain tumor, trauma etc. We bring together sub specialists from multiple disciplines (Neurologists and Neurosurgeons) to provide treatment option to evaluate and treat individuals to deliver complete care Each patient is thoroughly evaluated by way of
- » Testing of visual acuity
- » Color vision testing
- » Evaluation of the eye movements and ocular alignment
- » Visual field testing using kinetic perimetry, static perimetry, or both.
- » VER Testing
- » Selected patients may also undergo a variety of other diagnostic tests, including CT scanning and MRI.
Our service treats the complete range of spinal conditions, including
- » Optic nerve disorders, such as optic neuritis,
- » Ischemic optic neuropathy
- » Optic neuropathies
- » Visual field defects related to stroke or MS
- » Double vision from oculomotor nerve palsies
- » Myasthenia gravis
- » Thyroid eye disease
- » Orbital tumors
- » Blepharospasm and other involuntary facial movements
- » Pupillary abnormalities (e.g., anisocoria).
- » Vision loss and eye movement abnormalities resulting from brain tumors, strokes, multiple sclerosis, head trauma, or neurodegenerative conditions.
- » Disorders of the optic chiasm (i.e. pituitary tumors)
- » Papilledema
- » Double vision
- » Supranuclear disorders of eye movement (i.e., progressive supranuclear palsy)
- » Transient vision loss (Amaurosis fugax)
- » Nystagmus
- » Migraine
- » Temporal arteritis or giant cell arteritis
Emergency Services
- » Chemical contact with eye or face
- » Severe eye, head or face injury
- » Sudden loss of all or part of your vision
- » Bulging eye
- » Painful eye
- » Onset of flashing lights, floaters, or a noticeable increase in the amount of flashes and floaters
- » Appearance of a “veil”, or curtain across the field of vision
- » Sudden changes in pupil size
- » Eye that is sensitive to light
- » Foreign body in the eye
- » Double vision
- » Postoperative patients with pain in or around the eye, infectious discharge, increased redness, or decreased vision (in either eye) Sports Injuries