Every patient who walks into our clinic gets a detailed eye exam with
the best and latest available equipment
- Auto Refractometer- computerised/ automated testing of spectacle power
- Non- contact Tonometer – measures eye pressure as a screening test for glaucoma. It is a no-touch technique such that it reduces discomfort and risk of transmission of infection between patients
- Slit lamp examination – magnified, illuminated look at every structure in the eye
- Optic nerve head examination - examining the nerve of the eye can diagnose glaucoma and diseases of the brain
- Retina examination- examining the inner nerve layer of the eye is crucial for everyone, especially diabetics, hypertensives and those with myopia
- Corneal Topography by Pentacam - gives a detailed map of the corneal shape. It is important to plan and follow up refractive procedures and corneal diseases.
- Visual field analysis or Perimetry- charts the field of vision for each eye. It is important in cases of glaucoma and neurological diseases.
-Optical biometry - the latest and the most accurate equipment to measure IOL power before cataract surgery
-OCT scan (Optical Coherence Tomography) - Gives 3D scans of the
optic nerve and macula
It is important is glaucoma and retinal diseases
- Fundus photography- to photograph changes in the retina and optic nerve, important in diabetics and glaucoma patients.
CORNEA SERVICES
Dr. Ridhima Bhagali has been trained in Cornea and Anterior segment in King’s College Hospital, London under the very able guidance of the prolific Cornea transplant surgeon, Dr. Emma Hollick.
What is the Cornea?
The Cornea is the front transparent part of the eye through which we see the iris and pupil. It is easily accessible for examination, imaging, staining and measurements.
Common afflictions of the ocular surface and cornea include:
1. Dry eye - common in postmenopausal women, diabetics, contact lens users, associated with systemic diseases like arthritis, prolonged computer use.
2. Ocular allergy
3. Infections-viral, bacterial, fungal, contact lens associated
4. Trauma, chemical injury
5. Keratoconus - thinning and protruding of a part of the cornea
Usually it affects people in late teens and early twenties and both eyes are affected, one greater than the other.
It can be diagnosed using the Pentacam which maps the cornea and is useful to document worsening of the disease.
We at Medilaser provide treatment for keratoconus in the form of Corneal Cross- linking that provides strength to the weakened cornea and halts worsening of this disease.
6. Loss of transparency or Opacity of the Cornea
The latest techniques in investigating and managing these conditions are available at our clinic at reasonable cost.
We also dispense soft and semi-soft contact lenses for all conditions at Medilaser.
RETINA SERVICES
The retina is the inner delicate lining or the nerve layer of the eye which is crucial for vision
The retina is examined after dilating the eyes with eyedrops, the effect of these would cause blurring of near vision for approximately 4-5 hours.
Who needs a dilated retina examination?
Diabetics and people with myopia (minus power) need an annual dilated retina examination.
Symptoms like floaters, flashes of light, curtain or spot in vision, difficulty in near vision or night vision mandate a retina check.Retinal diseases we look for:
1.Diabetic retinopathy- small areas of bleeding, swelling, abnormal new vessels in the retina may require laser treatment to preserve vision or multiple injections to reduce the swelling.
2.Age related macular degeneration- ageing changes in the most sensitive part of the retina (macula) can be dry or wet (associated swelling or bleeding).
3.Blood vessel occlusions- small clots of blood may obstruct blood supply in the retinal vessels and cause bleeding, swelling or death of retinal tissue.
4.Retinal breaks, holes, tears- in the periphery of the retina may be present in myopic eyes commonly. They require laser strengthening around them to prevent the retina from lifting off and detaching.
5. Retinal detachment- is an emergency. Rush to the eye doctor if you see a curtain closing in on your vision, warning sign maybe flashes of light or floaters. The chances of vision restoration are better the earlier we operate.
GLAUCOMA
Is a silent blinding irreversible disease where patients are often unaware or symptomless till it reaches the end stages.
It is a disease of the nerve of the eye (optic nerve) commonly associated with high eye pressure, characterized by progression.
The tests needed to rule in or rule out glaucoma are a combination of:
1.Tonometry - measurement of intraocular pressure
2.Gonioscopy - to see the outflow passage of the fluid in the eye
3.Perimetry - charting points in the field of vision in each eye
4.Tonometry - measurement of intraocular pressure
5.Tonometry - measurement of intraocular pressure
Treatment: Commonly is in the form of eyedrops to lower the eye pressure. These should not be discontinued without the treating doctor’s instructions. Annual tests to document progression of the disease is advisable.
PAEDIATRIC SERVICES
1.Retina screening in premature babies- ROP screening
2.Refraction and spectacle prescription in children
3.Treating ocular allergies
4.Correcting squint or a misalignment of the eyes
5.Managing amblyopia or lazy eye
6.Paediatric cataracts, glaucoma
