Bombay City Eye Institute & Research CentreEye Care for all

About Surgeries

About Cataract Surgery
1. When can reading be resumed?

If the other eye has good vision, reading with that eye in moderation, keeping the operated eye covered, can be resumed on the next day.

2. When can work be resumed?

Work restricted to the office can be resumed after about 3 to 4 days. Dusty environment however must be avoided. Also work involving physical strain must be avoided for up to 1 week.

3. Can the Patient watch T.V?

The patient can watch T.V. from the day of surgery.

4. When can exercise be resumed?

Exercise restricted to walking can be resumed from the next day. Any heavier exercises like playing tennis, badminton, yoga, gym-workouts, etc., should be avoided for 2 weeks. Swimming should be avoided for about 4 to 6 weeks.

5. When can travel be undertaken?

With the doctor’s permission, depending on the recovery; but usually after 4 to 5 days.

6. When can sex be resumed?

Usually in a weeks time.

7. When can smoking/drinking be resumed?

Usually within a weeks time.

8. When is hair coloring or dye permitted?

After 15 days.


Glaucoma
1. What is Glaucoma?

Glaucoma is a general term used to describe damage to the optic nerve usually caused by high pressure.

2. Who are affected by Glaucoma?

People of any age can be affected by glaucoma, but it is more often seen in people over the age of 40.

3. Is there only one type of Glaucoma?

No. There are many types of glaucoma. The commonest type is called open angle glaucoma.

4. How will I know if I have Glaucoma?

Glaucoma is usually painless and most people with the condition are unaware that it is developing until it is diagnosed by a doctor.

5. How glaucoma is usually treated?

Glaucoma is usually treated with eye drops. Patients usually use drops once or twice a day in the affected eye. Some patients can also be helped with laser treatments and operations.

6. Can glaucoma cause blindness?

Yes. Glaucoma is a major cause of visual loss in developed countries. Fortunately if it is diagnosed and treated blindness is rare.

7. Do most people with glaucoma realize that they have the condition?

Unfortunately a large proportion of patients with glaucoma are unaware that they are suffering from glaucoma.

8. Does glaucoma run in families?

It is now known that some families have a genetic tendency towards developing glaucoma. Individuals who have family members suffering from glaucoma have 5-7 times higher risk of developing glaucoma, hence they should have their eyes tested regularly.

9. How often should I have my eyes checked for glaucoma?

After the age of 40 the eyes should be checked for glaucoma every year.

10. How does glaucoma damage the eyes?

The nerve fibers that run within the optic nerve gradually breakdown. The side vision is initially damaged, and eventually only a small area of central vision may remain. In extreme cases this too can disappear.

11. Can the damage e reverse?

Unfortunately the damage caused by glaucoma is permanent. Hence, early detection and treatment is vital.


Retina and Uveitis

A. Age Related Molecular Generation

1. What is ARMD?

ARMD is a degenerative disease of the retina that causes progressive loss of central vision, leaving only the side vision intact.

2. What are the symptoms of Macular Degeneration?
  • Lines may appear wavy and faces may appear blurred.
  • Difficulty in distinguishing colour.
  • Dark spaces that block the central vision.
  • Loss of central vision
3. What causes ARMD?

The exact cause is unknown. The only clinically proven risk factor is smoking. Several studies have identified possible additional risk factors like age, genetics, hypertension, sun exposure, farsightedness, light skin or eye color.

4. What tests are needed?

After a thorough retinal examination, if wet ARMD is suspected, following tests may be needed:

  • Fundus fluoresce in angiography (FFA): pictures of the retina are taken after injecting a dye in the vein of the arm
  • Optical Coherence Tomography (OCT): scanning of the macula.
5. Is ARMD treatable?

There is currently no treatment for dry ARMD. Vitamins, minerals and antioxidants may have a role in preventing the progression of macular degeneration.

There are various clinically proven treatments for wet ARMD.

6. How can I avoid losing vision due to ARMD?

  • Regular Eye Examination: A chart called the Amsler Grid may also be used in some cases to highlight visual distortions symptomatic of ARMD.
  • Quit Smoking
  • Control High Blood Pressure
  • Protect Your Eyes from Ultraviolet (UV) Light
  • Eat a Healthy Diet rich in fruits and dark green leafy vegetables and low in saturated fat
  • Exercise Regularly

7. What are the rehabilitation options available for ARMD patients?

Vision rehabilitation options such as low vision aids (e.g., strong reading or telescopic lenses, electronic devices, etc.), support services, talking books (available at your local public library) and learning activities of daily living are available.

Early diagnosis through medical eye examinations at least every year offers eye care specialists the opportunity to provide appropriate options for possible treatment, rehabilitation and support services.


B. Diabetic Retinopathy

1. What is diabetic retinopathy?

Diabetes causes an excessive amount of glucose to remain in the blood stream which may cause damage to the blood vessels. Within the eye the damaged vessels may leak blood and fluid into the surrounding tissues and cause vision problems.

2. How is diabetic retinopathy diagnosed?

An eye examination by trained personal is the best way to detect early diabetic changes in your eye. An ophthalmologist can often diagnose serious retinopathy before you are pupil and looks inside the eye with instruments called an indirect ophthalmoscope.

3. How is diabetic retinopathy treated?

The best treatment is to prevent the development of retinopathy as much as possible. Strict control of your blood sugar will significantly reduce the long-term risk of vision loss from diabetic retinopathy. If high blood pressure and kidney problems are present, they need to be treated.

4. How to prevent loss of vision?
  • Maintain appropriate blood sugar levels
  • Diet and exercise play important roles in the overall health
  • Routine examinations with an ophthalmologist at least once a year. More frequent medical eye examinations may be necessary depending on the stage and severity of the disease
  • Patients undergoing any eye surgery, including cataract surgery, should have eye examination before and after surgery as retinopathy especially macular edema can worsen after surgery
  • Adequate control of other systemic problems such as high blood pressure, kidney disease and cholesterol control is equally important and helps in treatment

Botox
1. What is Botox?

Botox is one brand of the Botulinum Toxin Type A that is produced by the bacteria clostridium botulinum.

2. How Botox Works?

Botox works by blocking the release of a chemical messenger (neurotransmitter) known as acetylcholine. This neurotransmitter found in the nerve cells usually transmits a nerve impulse to a muscle cell and causes it to contract. With the absence of acetylcholine the muscle cell is weakened leading to paralysis of the muscle. The Botox injection is restricted to the area under treatment simply because the effect is temporary and the nerve fibers have the capability of regenerating after a few months.

3. How Botox Injections Treat Wrinkles?

Botox injections treat wrinkles on the face by weakening or causing paralysis of the muscles found on the face and pulling the skin. After about a week after the injections, the wrinkles and lines start disappearing. However this does not limit one from forming facial expressions.

4. For how long one Botox does last?

After the injections and the disappearance of the wrinkles and lines, one can have an improved appearance for up to 4 months before having the treatment repeated.

5. How safe are Botox Injections?

When administered by medical professionals with a lot of experience in the treatment, the Botox injections are quite safe. There are some mild and temporary side effects are associated with the treatment. These include pain, bruising and tenderness associated with the Botox injection. It is common for most people to experience a slight headache right after the treatment is administered. Others also experience nausea and flu syndromes.

6. Where to get Botox Treatments?

The cosmetic procedures can be performed by many types of health professionals. As a matter of fact, an Oculopastic surgeon (trained in plastic surgery around the eye ) should be preferred.