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Eye Care - Procedures
Overview  |    Facilities  |   Procedures
Removal of Spectacles / Vision Correction
Wave Front Lasik
Aspheric Wave Front Lasik
Plano Lasik (Conventional)

Cataract Surgery

Glaucoma Surgery

Squint Removal

Removal of Spectacles / Vision Correction
 
Removal of Spectacles / Vision Correction
Wave Front Lasik
Wave Front Lasik is a unique corneal mapping technique that creates a three dimensional map of your cornea. Using a sophisticated system of light refraction, the Wave Front device creates a comprehensive `map' of all your eye characteristics, abnormalities or irregularities. This includes the most fractional (saccadic) of eye movements. For the Lasik procedure to be really precise it is important to detect these movements and incorporate them during application of the laser beam.

The laser radar tracking system developed by NASA's "Strategic defense system" tracks thousands of readings per second. This data is then transmitted to the laser in such a way that it can be locked on to a fixed point on the cornea irrespective of movements in the eye, thereby ensuring 100 percent accuracy. This technique leaves absolutely no scope for error and the chances of your regaining 20/20 vision is guaranteed.

Wave Front Lasik is the perfect solution for curing astigmatism, near-sightedness, far-sightedness and presbyopia (a condition that is caused by the ageing of the lens resulting in loss of flexibility).

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Aspheric Wave Front Lasik
Aspheric Wave Front Lasik is one of the most advanced procedures for vision correction in the world today. This procedure is not merely about correcting your vision but endowing you with a visual sharpness and clarity that far exceeds conventional vision aids like spectacles or contact lenses, and conventional Lasik.

Typically, the term ``Aspheric'' means ``not sphere-shaped''. Simply put, in the Aspheric Wave Front Lasik procedure, after the Wave Front device provides the requisite data, the cornea is shaped in such a way that the polar diameter (prolate) is higher than the peripheral diameter (oblate). This prolate shape helps the eye in gaining practically high-definition vision and enhanced night vision capability, while completely eliminating any optical side-effects like spherical aberrations.

Wondering what life would be after Aspheric Wave Front Lasik? You will no longer require glasses or cumbersome contact lenses for ever. And what's more - you get a vision clarity that is more than 20/20! Contact us today because it really can change the way you look at life and the world around you!

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Plano Lasik (Conventional)
The term LASIK is derived from Laser-assisted Intrastromal Keratoplasty. Today, Conventional Lasik surgery is the most common procedure for vision correction in cases of astigmatism, near- and far-sightedness.

Lasik surgery involves cutting a corneal eyeflap and involves using a specially tuned laser to burn the surface of the eye until it matches the predefined shape set out by the eye surgeon. After the reshaping is done, the original flap is replaced. The beauty of this procedure is that the laser does not touch any of the nerves where the burning takes place and hence it is completely painless.

MediTours-affiliated Eye Care Centers use the Excimer laser which unlike other lasers do not cause thermal (heat effects) but acts by breaking the intermolecular bonds at the tissue level of your eyes. This vaporizes only those specific tissues where it is being focused. This unique ability of this laser makes it ideal to reshape the corneal tissue. Vision correction is achieved by these lasers is due to generalized correction of the shape of the cornea.

The whole procedure is quick and usually lasts for 15 to 20 minutes. Since it is completely painless with minimal discomfort, you can leave after a short while and rest for the day.

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Cataract Surgery
The eye works like a camera where in the lens of the camera focuses the light on to the film, similarly the natural lens of the eye focuses light on the retina of the eye. Cataract is caused by clouding of this natural lens of the eye.

This clouding of the lens results in blurring of vision, making routine active like reading, driving, etc., difficult. Typically, cataracts are a part of the natural ageing process. However, it can also occur due to eye injuries, kidney disease, diabetes, etc.

There is no medicine, eye drop or exercise to cure cataract. The only treatment available for cataract is surgery. Modern surgery involves removing the cataractous (cloudy) lens and implanting a synthetic lens (IOL) within the eye. This lens is permanent and provides natural vision. Cataract Surgery is amongst the most commonly performed surgeries all over the world and millions of patients have undergone the procedure. Traditionally this surgery required a cut in the eye 10 to 12mm wide which required stitches. This resulted in a number of restrictions after the surgery. However, that is not the case any more!

 
PHACO Emulsification: Quick and Painless
MediTours-affiliated Eye care Centers are pioneers in the field of Topical PHACO Emulsification (cataract surgery with drop anesthesia) in the country. This procedure is also known as injection-less, stitch-less and bandage-less cataract surgery.

The PHACO Emulsification technique involves performing the surgery through a small valve 1.6 to 2.8 mm in size.
A computer-controlled ultra fine instrument is inserted to break the cataract into small pieces and then removed by suction. After the cataract is completely removed, a clear synthetic lens (IOL) is inserted in the eye through the valve using an injector system. This valve does not require any stitches and seals on its own immediately after the surgery.

 
Benefits

The whole procedure lasts for about 15 to 20 minutes and visual recovery often starts within a few minutes. The vision recovery process is complete within a day or two as compared to traditional surgery where total visual recovery is achieved in 6 to 8 weeks

This surgery also minimizes the need for spectacles after surgery due to lesser induced cylindrical power

The patient can resume most of the daily routine activities like watching TV, bathing driving, cooking etc. the same day without any restrictions whatsoever.

 
Cataract Surgery Packages
MediTours-affiliated Eye Care Centers provide various packages for Cataract Surgery. The choice of procedures is totally yours and depends on your comfort and cost levels. All you need to do is to contact us by e-mail or phone and we will provide you with all the relevant details pertaining to each of the Cataract Removal Procedures, their individual advantages and the costs involved. Procedures offered by us include the following:
PHACO Emulsification with foldable IOL
PHACO Emulsification with aspheric IOL
PHACO Emulsification with multi-focal IOL
PHACO Emulsification with Glaucoma
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Glaucoma Surgery
Glaucoma is an eye disease in which the normal fluid pressure inside the eyes rises gradually, leading to vision loss - or even blindness.

There are two basic types of Glaucoma - open-angle and narrow-angle (or angle-closure) glaucoma. Open-angle is the most common form, accounting for 90% of all cases and is associated with aging. When a person ages, the eyes' drainage apparatus may not work as effectively as it should. In narrow-angle glaucoma, the eye pressure is normal until the drainage angle becomes suddenly blocked. Eye pressure rises abruptly to dangerous levels. Immediate treatment is necessary. Increased eye pressure means you are at risk for glaucoma, but does not mean you have the disease. Glaucoma can develop even without increased eye pressure

So how do you know if you have Glaucoma? At first, open-angle glaucoma has no symptoms. It causes no pain. Vision stays normal. As glaucoma remains untreated, people may miss objects to the side and out of the corner of their eye.
 
Detection
There are many tests that can be conducted by your doctor or eye care professional to detect glaucoma. Usually intraocular pressure tests and visual field tests are performed in combination to determine the eye's pressure and the pressure's affect on the optic nerve. Photographs of the optic nerve may also be taken to determine its health. These simple tests can ensure that the disease is diagnosed early, so it can be treated before permanent damage is caused.
 
Diagnostic Testing Includes:
Humprey Visual Field
Goldman Visual Field
Tanget Screen Perimnetry
Optical Coherence Tomography
Scanning Laser Polarimetry (GDx)
Electrophysiologic Testing
 
Treatment
There is no cure for glaucoma. Damage done to the optic nerve is permanent. There are, however, many treatment options that can minimize the effect and prevent further damage. Treatments include eye drops, laser trabeculoplasty, or conventional surgery. These treatments are often done simultaneously.

Majority of patients are managed by simple eye drops alone. There are plenty of combinations of these available and your eye doctor decides what is best for you. Medication can be used to reduce eye pressure thereby preventing further damage to the optic nerve. Eye drops are the most common type of medication for this condition. Tablets may also be prescribed.
Laser trabeculoplasty is a treatment performed by a doctor or eye care professional. A laser machine is used to improve the drainage in the eye. This is a longer-term solution than medication, but the effect will reduce over time.

Laser treatment of glaucoma includes:

Selective Laser Trabeculoplasty (SLT)
Argon Laser Trabeculoplasty (ALT)
YAG Laser Iridoplasty
Endoscopic Cyclophotocoagulation (ECP)
Argon Laser ciliary body ablation
Diode Laser ciliary body ablation

Surgical treatment of glaucoma includes:
Trabeculectomy with and without antimetabolites
Non-penetrating glaucoma surgery: Aquaflow and Viscocanalostomy
Glaucoma implant surgery: Ahmed, Baeveldt, Molteno, and Krupin implants

Laser treatment for Glaucoma
In conventional surgery, a small piece of tissue is removed from the eye, which creates a new opening for the fluid to leave the eye.
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Squint Removal
Squint eyes - medically termed as strabismus - occurs predominantly in infants. Strabismus is basically a condition when the muscles that control our eye movements are not synchronized or balanced. Our eyes have six muscles attached to them in order to control eye movement. Two muscles coordinate the sideways movement of the eye - say from left to right or vice-versa. The four remaining muscles facilitate the vertical and tilting movements of the eye - typically up or down.

In order for the eyes to absorb any image and transmit the same to the brain, the muscles of both the eyes much work in perfect balance and synchronization. A misalignment of the muscles of any kind results in strabismus which affects normal binocular vision and loss of depth-perception.

There are two types of strabismus - Esotropia (where the eyes turn inwards) and Exotropia (where the eyes are turned outwards). Both these conditions can be corrected to a large extent through strabismus surgery, although achieving a perfect balance and alignment may not always be possible. Parents of children must also be prepared to accept the fact that correction of strabismus may require more than one or two surgical procedures.

However, if detected and treated at the right time, almost normal vision can be restored, along with the ``cosmetic'' appearance of the eyes. Any shortfall can be further corrected with the use of spectacles and special lenses called ``prisms''. More importantly, the child is spared the psychological trauma of having to live with crossed eyes.

 
Procedure
The principle behind strabismus surgery is to adjust the tension in the muscles that control the eyes. Based on which of the two cases of strabismus is applicable, a small incision is made in the tissues of an eye (or both eyes, depending upon the severity of the condition) in order to reach the eye muscles controlling it. In the case of esotropia, these muscles are pulled further inwards thereby allowing the eyes to straighten. In some cases the length of the outer muscles are shortened which helps in pulling the eyes further outward.

Strabismus surgery is safe, quick and the preferred procedure for the condition. Recovery time is rapid and patients can return to their normal life and activities within a few days time.

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