Thursday 17 November 2016

Diabetic Retinopathy : Laser Treatment for Getting Better Vision

Diabetic Retinopathy is a condition occurs in diabetic patients. A serious sight – threatening complication is developed by diabetic retinopathy. Diabetes causes progressive damages in the retina, which is a light-sensitive lining at the back end of the eye.Diabetic retinopathy is caused by excessive sugar in the blood stream which not only affects the eyes also most of the organs of the body. Over a period of time, blood vessels of the retina are damaged by the diabetic condition. When the tiny blood vessels start to leak blood and other fluids it indicates the occurrence of diabetic retinopathy.

Diabetic Retinopathy Causes:

Swelling in the retinal tissue, blurred vision  affects both the eyes. A patient who has diabetic for many years, she/he has more chances of developing retinopathy. When this condition is left untreated, it will lead to permanent blindness. Early stages of diabetic retinopathy do not significantly show any symptoms. It has been insisted that the diabetic patients should undergo comprehensive dilated eye examination at least once a year. Early detection and treatment might prevent the vision loss.

The two different types of Diabetic retinopathy are

Non-proliferative diabetic retinopathy (NPDR) – Early stage of the disease, the symptoms will be very mild. In NPDR retina blood vessels are weakened, blood vessels bulge and may leak fluid into the retina. This may lead to macular swelling. Proliferative diabetic retinopathy (PDR) – This is the most advanced stage of Diabetic retinopathy. Oxygen circulation is deprived in the retina. As a result, new fragile blood vessels begin to grow in the retina and into the vitreous. The new blood vessels may start leaking into the vitreous thus makes the vision cloudy.

Diabetic Retinopathy Treatment in Mumbai

The Early stage of diabetic retinopathy needs regular eye checkups with controlled blood sugar. In the advanced stages, Focal laser treatment / Photocoagulation either to slow down or stop the fluid or blood leakage into the eye, Scatter Laser Treatment / Pan-retinal Photocoagulation to shrink the abnormal blood vessels, Vitrectomy, to remove blood from the vitreous and scar tissues in the eyes are performed.

Krishna Eye Centre, Mumbai offers best Diabetic Retinopathy Treatment in Mumbai with quality and international standard treatments along with highly equipped ophthalmic instruments, with a crew of professionals, medical staffs. Our motto is our patient's satisfaction and accordingly we serve them. Using precise diagnoses, we treat all kinds of eye problems. Testimonials of our patients from the different part of the countries are accolades for our meticulous service. Our diabetic retinopathy treatment cost is quite affordable by all.

diabetic-retinopathy-treatment-mumbai

Mail us : krishnaeyecenter@gmail.com

Thursday 17 March 2016

Glaucoma Treatment in Mumbai

Glaucoma is an eye disease which will cause blindness. Around 2% of people in this world are suffering from this disorder.
Glaucoma is a disease that damages your eye’s optic nerve. It usually happens when fluid builds up in the front part of the eye. The extra fluid formed will increase the pressure of the eye and damage the optic nerve. When glaucoma develops, it doesn’t show any early symptoms. The diseases progress slowly and steal our vision very gradually.


Glaucoma usually occurs when pressure in our eye increases. The pressure increases because the eye fluid called aqueous humor isn’t circulating normally in the front part of the eye. Normally this fluid flows out through a mesh like channel. If this channel becomes blocked, fluids build up that cause glaucoma. It can be inherited that means it is passed from parents to children. Glaucoma usually occurs in both eyes, but it may involve each eye to a different extent.



  • Appearance of coloured rings around light
  • Pain and redness in eyes
  • Gradual darkness at outer edge of vision
  • Heaviness or headache


  • Open Angle Glaucoma - it occurs when the trabecular meshwork of the eye gradually becomes less efficient at draining fluid
  • Normal Tension Glaucoma - in this eye pressure is consistently below 21 mmHg, but optic nerve damage and loss of vision still occur
  • Closed Angle Glaucoma -  it happens when someone’s iris is very close to the drainage angle in their eye. The iris can end up blocking the drainage angle. The blocking of drainage angle will increase the eye pressure quickly
  • Congenital Glaucoma -  it is a rare type of glaucoma that develops in infants and young children and can be inherited.
  • Secondary Glaucoma - that results from another eye condition or diseases. For example, someone who had an eye injury, or had a tumor may develop secondary glaucoma.
  • Glaucoma Suspect -  people having normal eye pressure but their optic nerve or visual field looks suspicious for glaucoma





Glaucoma is discovered during the routine eye checkup. 
Different tests used to monitor the progression of glaucoma includes :

  • Tonometry : measure intraocular pressure
  • Gonioscopy : view the optic nerve changes
  • Pachymetry : to check the corneal thickness
  • Perimetry / Visual Field Test : to map the field of vision of each eye
  • OCT(Optical Coherence Tomography ) : to calculate the retinal nerve fibre layer thickness and loss in early stage of glaucoma



The treatment options that we provides are:

  • Medication : This includes eye drops have to be used as advised by the doctor. This rather decrease the formation of eye fluid.
  • Surgery :  It is the last option when eye drops can no longer control the intraocular pressure

Krishna Eye Centre will provide a complete workup package for Glaucoma Treatment in Mumbai. We provide highly sophisticated treatment procedures to meet the patient’s expectations. Our mission is to provide high standard eye care treatments at affordable cost.


Mail Us on : krishnaeyecenter@gmail.com

http://www.krishnaeyecentre.com/contact-us/

Monday 1 February 2016

Cataract Surgery in Mumbai

http://www.krishnaeyecentre.com/cataract/

Cataract is an eye condition which involves clouding of the lens inside the eye. It results in blurred vision. Cataract affects either one eye or both the eyes. Aging is one of the main factors causing cataract.

Causes of Cataract
There are different types of cataracts: all are due to the changes in the chemical composition of the lens.

The possible causes of these changes include:
  • Aging
  • Eye injuries
  • Eye and systemic diseases (such as diabetes),
  • Congenital or hereditary defects
But there are many other reasons which also include changes in lifestyle: it is advisable, to follow a healthy diet and practicing regular physical activity.
 

Symptoms of Cataract
  • Blurred or double vision
  • Defective color of vision
  • Frequent changes in Eyeglass prescription
Treatment for Cataract

During the initial stage, when the lens is affected by cataract, vision appears to be slightly blurred. A simple alteration in the eyeglass prescription may be sufficient to improve the view for a certain period of time.

Once the cataract reaches its advanced stage, vision gets blurred and it is difficult to carry out normal daily activities. At this stage, surgical removal of the cataract will be advised by the doctor. It involves replacement of the natural cataractous lens with an artificial one.


Krishna Eye Centre provides Cataract Surgery in Mumbai at an affordable cost. We posses a panel of experts for performing various Eye Surgeries.For more details

Visit us on : www.krishnaeyecentre.com

Friday 22 January 2016

Eye care Clinic in Mumbai

Krishna Eye Centre is one of the Best Eye care Clinic in Mumbai. The clinic is located at Sion, Dadar & Parel. We provide you with the highest level of Eye Care services at an affordable price. We have highly experienced medical team to provide better care for our patients.
Dr. Gul J Nankani and Prof. Dr. Sonia Nankani are the main doctors in this Krishna Eye Centre. Dr Nankani established his private practice in 1995 at Krishna Eye Centre at Dadar. Dr Gul Nankani is an experienced Lasik Refractive specialist,  other than having in-depth knowledge in management of glaucoma and other anterior segment issue.
Dr Sonia Nankani finished her post-graduation in Ophthalmology from Kasturba Medical College, Mangalore.She is also famous for the no-patch phaco-emulsification cataract surgery, she is capable in Lasik Surgery. 

Hear from our patients




 


 



For any doubts or queries Click on

Visit Us  www.krishnaeyecentre.com

Friday 6 November 2015

Squint Treatment in Mumbai


When looking at an object, a normal person has both eyes pointed straight at that object. If only one eye is looking straight and the other eye is turned away, then that person has a squint.

The medical name for squint is strabismus. It is a condition where the eyes do not look in the same direction. Whilst one eye looks forwards to focus on an object, the other eye turns either inwards, outwards, upwards or downwards.Squints are common in children.Many adults also have squints.

Squints are common and affect about 1 in 20 children. You might even spot that your baby has a squint. Most squints develop before preschool age, usually by the time a child is 3 years old. Sometimes squints develop in older children, or in adults.

A squint develops when the eye muscles do not work together in a balanced way, so that the eyes do not move together correctly.



What are the different types of Squint ( Strabismus ) ?

Squints can be divided into different categories : 
  • By the direction of the squinting (turning) eye:
    • An eye that turns inwards is called an esotropia.
    • An eye that turns outwards is called an exotropia.
    • An eye that turns upwards is called a hypertropia.
    • An eye that turns downwards is called a hypotropia.
  • Whether the squint is present all the time (constant), or comes and goes (intermittent).
  • Whether the affected eye turns when the eyes are open and being used (manifest squint) or whether the eye turns only when it is covered or shut (latent squint) but looks fine when the eyes are open.
  • Whether the severity (angle or deviation of the eye) of the squint is the same in all directions or not:
    • A concomitant squint means that the angle (degree) of the squint is always the same in every direction that you look. That is, the two eyes move well, all the muscles are working but the two eyes are always out of alignment by the same amount, no matter which way you look.
    • An incomitant squint means that the angle of squint can vary. For example, when you look to the left, there may be no squint and the eyes are aligned. However, when you look to the right, one eye may not move as far and the eyes are then not aligned.
By age of onset-childhood or adult squint: Most squints develop at some time in the first three years of life. Some develop in older children and adults. Squints that develop
in children usually have different causes to those that develop in adults.


The causes of squint are not always known, but some children are more likely to develop it than others. Among the possible causes are:

Congenital squint :

Sometimes a baby is born with a squint, although it may not be obvious for a few weeks. In about half of such cases, there is a family history of squint or the need for glasses. The eye muscles are usually at fault. If squint is suspected, it is important that the baby be referred for accurate assessment at the earliest opportunity. Sometimes a baby has what is known as ‘pseudo squint’ which is related to the shape of the face, but a baby with a true squint will not grow out of it.Early eyecheck up is the key to early diagnosis and cure to this as its imperative the child grows up with good vision.

Long sight ( hypermetropia-The eye sees far off objects but cannot see close objects ) :

Long sightedness can sometimes lead to a squint developing as the eyes ‘over-focus’ in order to see clearly. In an attempt to avoid double vision, the brain may automatically respond by ‘switching off’ the image from one eye and turning the eye to avoid using it. If left untreated, a ‘lazy eye’ (amblyopia) may result. The most common age for this type of squint to start is between 10 months and two years, but it can occur up to the age of five years. It is usually first noticed when a baby is looking at a toy, or at a later age when a child is concentrating on close work, such as a jigsaw or reading.

Childhood illnesses :

Squint may develop following an illness such as measles or chickenpox. This may mean that a tendency to squint has been present but, prior to the illness, the child was able to keep his or her eye straight.

Nerve damage:

In some cases a difficult delivery of a baby where forceps are used to assist in the delivery or illness damaging a nerve can lead to a squint.




What are the treatments for Squint ( Strabismus ) ?

Treating 'lazy' eye (amblyopia):

The main treatment for amblyopia is to restrict the use of the good eye. This then forces the affected eye to work. If this is done early enough in childhood, the vision will usually improve, often up to a normal level. In effect, the visual development of the affected eye catches up. The common way this is done is to put a patch over the good eye. This is called eye patching.
The length of treatment with an eye patch is dependent on the age of the child and the severity of the amblyopia. The patch may be worn for a few hours a week or for most of the day, every day. Treatment is continued until either the vision is normal or until no further improvement is found. It may take from several weeks to several months for eye patching to be successful.
Your child will be followed up, usually until about 8 years of age, to make sure that the treated eye is still being used properly and does not become amblyopic again. Sometimes, further patch treatment (maintenance treatment) is needed before the vision pathways in the brain are fixed and cannot be changed.
Occasionally, eye drops to blur the vision in the good eye, or glasses that prevent the good eye from seeing clearly, are used instead of an eye patch.
Vision therapy can be used as a treatment to maintain the good work achieved by eye patching. This involves playing visually demanding games with a child to work the affected eye even harder - like eye training.
Note: eye patching and other treatments for amblyopia aim to improve vision; they do not by themselves correct the appearance of a squint.
Correcting refractive errors
If a child has a refractive error (long or short sight, for example) then glasses will be prescribed. This corrects vision in the eye. It may also straighten the squinting eye, if the refractive error was the cause of the squint.
Botulinum toxin

Botulinum toxin (also know as Botox®) stops muscles from working (it paralyses them). It is used for a variety of conditions where it is helpful to weaken one or more muscles. In recent years, injections of botulinum toxin directly into eye muscles have been used as a treatment for certain types of squint, particularly for squints that turn inward (esotropia). This treatment is an alternative to surgery - but only for certain types of squint.
Surgery

In many cases an operation is advised to make the eyes as straight as possible. The main aim of surgery is to improve the appearance of the eyes. In some cases, surgery may also improve or restore binocular vision (this means that the two eyes are working together).Squint surgery is done on the muscles that move the eyeball.
The exact operation that is done depends on the type and severity of the squint. It may involve moving the place where a muscle attaches to the eyeball or, one of the muscles that moves an eye may be strengthened or weakened depending on the requirement to correct the squint.Sometimes a combination of these techniques is used.
Squint (strabismus) surgery usually greatly improves the straightness of the eyes. Sometimes, even after an operation, the eyes are not perfectly straight. In some cases, two or more operations are needed to correct the squint. Sometimes a special stitch is put in place which can be adjusted later on if further correction is needed.
It is possible that several years after successful surgery, the squint may gradually return again. A further operation is an option to restraighten the eyes.
Vision Therapy for Strabismus
This is the new non invasive method of treating squints,very often squint surgery mighr need to be combined with vision therapy to give good sustainable results.
Strabismus occurs when the brain processes spatial information from the two eyes differently.  When the brain can’t combine the two images into a single 3D image, double vision will occur. This results in confusion and difficulty performing many tasks in daily life.


To solve this confusion, the brain needs to learn to suppress (ignore) one of the images or figure out how to get one of the images out of the way.  The second image can get out of the way if the eye turns in, out, up or down, or some combination.


Treatment involves getting the brain to pay attention to the strabismic eye information while the other eye is open and able to see. In most cases, there is one eye that turns more frequently. Emphasizing peripheral visual processing of spatial information helps to maintain focusing with two eyes together.

Once these skills are in place, then it’s a matter of practicing using both eyes together at different distances and doing different activities.  Eventually, this will allow for comfortable and efficient use of both eyes at the same time. 

The success of vision therapy for strabismus depends on the direction, magnitude and frequency of the eye turn. Vision therapy has been proven effective for treating an intermittent form of strabismus called convergence insufficiency and Small degree of deviation.

Contact us by sending a mail or through our site..




Monday 5 October 2015

Non-Corneal Refractive Surgery in Mumbai

What is LASIK ?

Lasik (Laser-Assisted in Situ Keratomileusis) refers to refractive Laser surgery which gives patients suffering from refractive errors like myopia, hypermetropia and astigmatism freedom from glasses.

MICROKERATOME                                                                                     LASIK FLAP 

ECXIMER LASER ABLATION                                                                  FLAP REPOSITION

Are you a LASIK reject ?

People believe that LASIK is just a simple surgery and everyone with glasses can get it done. But that’s not true.

LASIK procedure alters the shape of the cornea by laser so that the light entering the eye now gets focused on the retina correctly to give the crisp vision.
Only after a detailed preoperative evaluation of the eye especially the cornea the doctor can tell you whether you are a good candidate to get LASIK done, depending on the thickness of the cornea the range of the refractive error that is to be corrected.

Safety is of paramount importance and that should never be compromised for the sake of cosmesis.
Individuals who are not suitable candidates for the LASIK procedure are termed as LASIK REJECTS.

If I am a LASIK reject what are my options for enjoying the freedom from glasses ?

There are other options for correcting the refractive errors and one can opt for anyone according to individual preferences and characteristics of the refractive error one has.

Contact lenses : 

These help overcoming the problems encountered with spectacles use. But, these can be worn for maximum 10 hrs a day and one has to follow the cleaning and hygiene routine strictly so as to prevent any kind of eye infections. Overuse of the contact lenses can give rise to an allergic reaction in the eye which can necessitate their discontinuation in some on a temporary or permanent basis.



Implantable Collamer Lens (ICL) :

ICL is a flexible, soft lens made up of Collamer which is a biocompatible substance made by combining Collagen (naturally available in the body) and Polymer.
This is a unique refractive surgery option for the young LASIK Rejects to get rid of their glasses or contact lenses.

IMPLANTABLE COLLAMER LENS



What is the technique of implantation of the ICL ?

The implantation procedure is quick and painless.

It is done after instilling anaesthetic eyedrops. No injections required.

The ICL is implanted inside the eye with a simple 10-15 minutes procedure through a small incision. It works similar to a contact lens designed to fit behind the iris and above the natural lens.


What are the advantages of ICL ?
  • No Corneal tissue removed, hence does not alter the natural shape of Cornea
  • Painless and quick
  • Safer option for the LASIK rejects.
  • Corrects higher range of refractive errors including myopia, hypermetropia and astigmatism
  • Retains corneal asphericity
  • Retains the contrast sensitivity
  • Preserves accommodation thereby near vision
  • No glare issues in case of people with large pupils
  • Stable and no regression 
  • It is implanted inside the eye so no maintenance issues as those faced with routine soft contact lenses
  • No dry eye issues, which are common with LASIK and other corneal refractive procedures
What are the potential Risks after implantation of the ICL ?
  • Over-correction or under-correction of the refractive error : this can happen because of miscalculation of the refractive power of the ICL to be implanted. Mild errors can be corrected by prescribing additional glasses. Rarely replacement may be required
  • Cataract formation : almost 60 percent population will develop cataract above the age of 65 years. ICL may accelerate the process of cataract formation by few years but this is rare.
  • Increased Intraocular pressure : This used to be a major risk few years before. Now-a-days after the introduction of the designs with central or midperipheral flow channels this risk is almost nonexistent 
Refractive Lens Exchange :

This refers to removal of the natural crystalline lens and replacing it with an artificial Intra-ocular Lens (IOL) for refractive purposes.

Due to the advances in Cataract surgery it has evolved from just a procedure to remove cataractous lens to a procedure focused on the best possible postoperative refractive result.

As the postoperative visual outcomes have become more predictable the use of lens surgery in patients without cataracts as a refractive modality has gained popularity.

What are the advantages of RLE ?

This procedure presents several advantages over corneal refractive surgery.
  • Patients with high degrees of myopia, hyperopia and astigmatism who are not candidates for laser surgery can undergo this procedure.
  • Wider range of refractive errors including astigmatism can be corrected.
  • Moreover, presbyopia can currently only be corrected with monovision or reading spectacles. RLE supplemented with multi-focal or accommodating intra-ocular lenses (IOLs) in combination with corneal astigmatic procedures might address all refractive errors including presbyopia, and eliminate the future need for cataract surgery.
Who are the best candidates for RLE ?
  • The individuals in their 40s who start developing presbyopia that is difficulty in reading and doing other activities requiring good near vision. Presbyopia is an age related process and such individuals even after undergoing LASIK surgery will require near vision glasses hence not giving them 100% spectacle freedom. On the other hand RLE with multi-focal Intra-ocular Lens will make them completely spectacle free.
  • Also beneficial in patients of older age group who will require cataract surgery in relatively near future and hence ameliorates the need for two surgeries in them and gives a better predicted end Visual result.
How is the Refractive lens Exchange done ?

The procedure of refractive lens exchange is exactly same to the routine cataract surgery.
It is done on a day care basis.
Takes around 15-20 minutes.
It is performed under topical anesthesia without any need of injection.



What are the potential risk factors involved in RLE ?
  • Overcorrection or under correction of the Refractive Error: this is RARE because of the advanced IOL power calculating machines and softwares available
  • Increased floaters
  • Decreased contract sensitivity with multi-focal implants
  • infection
  • Dislocation of the IOL
  • Retinal detachment : Very rare. Patients with high myopia are at increased risk of retinal detachment and proper preoperative retinal evaluation will eliminate this complication


The success of any refractive surgery depends on the patient’s understanding and expectations from the procedure. Choosing the procedure which is best suitable for you after discussing and understanding the benefits and risks of the procedure will help you enjoy spectacle freedom.

Contact us by sending a mail or through our site..








Monday 28 September 2015

Amblyopia Treatment in Mumbai

What is Lazy Eye Syndrome ?

Lazy eye is also known as Amblyopia. Lazy eye is an early childhood condition where a child's eyesight in one eye does not develop as it should. The problem is usually in just one eye, but can sometimes affect both of them. 

When a patient has amblyopia the brain focuses on one eye more than the other, virtually ignoring the weak eye. If that eye is not stimulated properly the visual brain cells do not mature normally. 

The term lazy eye is inaccurate, because the eye is not lazy. In fact, it would probably be more accurate to say lazy brain, because it is a developmental problem in the brain, not an organic problem in the eye.

What are symptoms of Lazy Eye Syndrome ?

A child with a lazy eye wont be able to focus properly with one eye and as a result the brain starts ignoring weaker images.

The signs and symptoms are as follows:

  • Blurred Vision
  • Double Vision
  • A squint
  • Eyes do not appear to work together
  • Poor depth perception (of vision)

It is important for a child to have a vision check. In most countries the first eye examination occurs at the age of 3 to 5 years. It is especially important to have an early eye check if there is a family history of crossed eyes, childhood cataracts or other eye conditions

How is it caused ?

An imbalance in the muscles that position the eye:  The muscle imbalance undermines the two eyes' ability to track objects together (move in harmony with each other, in a synchronized way, to be aligned onto an object that may be stationery or in motion.)
Strabismus  or squint may be inherited; it could be the result of long- or short-sightedness, a viral illness, or an injury.

Anisometropic amblyopia – unequal eye powers or unequal refractive errors between the two eyes result in the brain acknowledging images from the eye with lesser power this makes it overlook the impulses being sent to it from the weaker eye .Thereby causing blunting or lazy vision developing in the eye with higher powers.The more the difference between the powers of the two eyes the deeper or worse is the amblyopia.

Stimulus deprivation amblyopia – This happens when light from an object to be viewed is obstructed from reaching the retina of One eye or both eyes. Thus the eye that is not perceiving images gets blunted vision.

Conditions within the eye that can obstruct the light rays from reaching the retina are corneal scars,cataracts, droopy or floppy eyelids,childhood glaucomas and eye injuries. 
Very often we find children with locks of their hair falling and covering one eye thereby obstructing light rays from entering the eye and causing ambylopia.
This is a very avoidable circumstance.

How is Lazy eye diagnosed ?

Routine examinations play a very important role in the diagnosis of lazy eye syndrome.Each eye is tested separately to determine whether there is any short- or long-sightedness(refractive errors) and how serious it is. The child will also be carefully tested to determine whether there is a squint. 

Comprehensive vision evaluations are highly recommended for infants and pre-school children. Otherwise, many children go undiagnosed until they have their eyes examined at the eye doctor's office at a much later age.



What are treatment options for Lazy Eye Syndrome?

1)Conventional methods
2)Modern methods

In practice a combination of both these methods give the best desired results.

CONVENTIONAL METHODS


1.Treating an underlying eye problem. 
2.Getting the affected eye to work so that vision can develop.

  • Treatment for underlying eye problems 

Many children who have unequal vision - anisometropia - do not know they have an eye problem because the good eye and the brain compensate for the shortfall. Sadly, the bad eye progressively suffers and amblyopia (blindness) develops.

Glasses - a child with myopia (short-sightedness) or hypermetropia (long-sightedness) will be prescribed glasses. The child will have to wear them all the time so that the specialist can monitor how effective they are on improving amblyopia (vision problems on the lazy eye). Glasses may also get rid of a squint. Sometimes, glasses can solve the amblyopia and no more treatment is required. It is not uncommon for children to complain that their vision is better when they don't wear the glasses. They need to be encouraged to wear them for the treatment to be effective.

Cataracts - cataracts can be surgically removed with either local or general anaesthesia.
Ptosis (droopy eye lid) - the usual treatment for this is surgery.

  • Getting the lazy eye to work 

Occlusion (using a patch) - A patch is placed over the good eye so that the lazy eye has to work. As the brain is only getting data from that eye it won't ignore it. A patch won't get rid of a squint, but it will improve vision in the lazy eye. 

The length of treatment depends on many factors, including the child's age, the severity of their problem, and how much they adhere to the specialist's instructions. The patch is usually worn for a few hours each day. A child should be encouraged to do close-up activities while wearing the patch, such as reading, coloring or schoolwork. A child with amblyopia does not have to wear a patch all day; three to four hours daily for a total of twelve weeks is all that is usually needed to improve vision.

Encouraging the child to wear the patch when they are told to is important. If the child is old enough, explaining why the patch is so important helps. For some children, having to wear a patch is unpleasant, irritating and embarrassing.
Atropine eye drops - These may be used to blur vision on the better or good eye.Atropine dilates the pupil, relaxing the eye muscles and resulting in blurring when looking at things close up - this makes the brain appreciate images from the  lazy eye ,making it work more. Atropinised eye is usually less conspicuous and awkward for the child, compared to the patch, and can be just as effective. Children who cannot tolerate wearing a patch may be prescribed eye drops instead. 

It needs to be used strictly under prescription as it can have harmful side effects.
Surgery: Realigns muscles in the eyes, a more expensive and risky option than other forms of treatment

MODERN METHODS

1) VISION THERAPY
2) MEDICATIONS

  • Vision Therapy

These are computer based sets of exercises that give a multiprong therapy to counter ambylopia.
a)Antisuppression therapy: First vision therapy removes the suppression from the brain of the lazy eye enabling the brain to acknowledge the visual imputs  from the lazy eye
b)Stimulation: Once the brain starts recognising the lazy eye ,sets of computerised therapies are given to stimulate the brain cells to learn to understand the visual impulses from the lazy eye thus bringing the brain to comprehend and analyze the impulses from both the eyes at power with each other.
c)Binocularity: Vision therapy further helps the neural adaptation of the brain to the concept of binocularity. 
This allows binocular interaction between the two eye allowing them to align, move, track on stationery and moving objects and develop a 3 dimensional vision with depth perception. 

To quote Dr. Leonard J. Press, FAAO, FCOVD :
"Treatment of amblyopia after the age of 17 is not dependent upon age, but requires more effort including vision therapy.
It's been proven that a motivated adult with strabismus and/or amblyopia who works diligently at vision therapy can obtain meaningful improvement in visual function. As my adult patients are fond of saying: "I'm not looking for perfection; I'm looking for you to help me make it better". It's important that eye doctors don't make sweeping value judgments for patients. Rather than saying "nothing can be done", the proper advice would be: "You won't have as much improvement as you would have had at a younger age; but I'll refer you to a vision specialist who can help you if you're motivated."

  • Medications

Some children require the stimulation of the visual cells in the brain by special medications that have been found safe for children. 

The successful management of AMBYOPIA requires a synergistic approach with the use of several modalities available to the eye specialist.
It is a neural learning of the brain that is required. The therapy is time consuming and tedious for the parent and the individual but well worth and satisfying.


For more details contact us..