Refractive Surgery in India
The light that passes through the pupil, lens and cornea focusing directly upon the retina is termed as clear vision. If there is a flat, steep or round cornea that relates to the eye length, then the light rays focus behind the retina or in front of the retina. This results in refractive errors like astigmatism, farsightedness and nearsightedness. Refractive surgery, also known as vision correction surgery, is performed to treat these refractive errors by changing the way by which the eye focuses light and altering the cornea’s shape.
What is Refractive Surgery?
The light that passes through the pupil, lens and cornea focusing directly upon the retina is termed as clear vision. If there is a flat, steep, or round cornea that relates to the eye length, then the light rays focus behind the retina or in front of the retina. This results in refractive errors like astigmatism, farsightedness and nearsightedness. Refractive surgery, also known as vision correction surgery, is performed to treat these refractive errors by changing the way by which the eye focuses light and altering the cornea’s shape.
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Types of Refractive Surgery
Intraocular: In this, a synthetic lens is positioned in the patient’s eye. This can be done either by removing the natural crystalline lens or without it.
Keratorefractive: During this refractive surgery, the physical structure of the cornea is changed.
Who should consider Refractive Surgery?
- Candidates who have an appropriate refractive error.
- Candidates who want to decrease their dependence on contact lenses or glasses.
- Candidates who understand that it is still required to wear corrective lenses or contacts after the surgery so as to achieve better vision.
- Candidates who are free from eye diseases.
Refractive Surgery Procedures
Refractive Lens Replacement: The surgical procedure is meant for those who are 50 or above and have developed distortions in the eye lens. People who have severe problems of nearsightedness and farsightedness opt for this surgery. The natural lens is replaced with an artificial lens of suitable power. The procedure is similar to cataract surgery. The procedure is also apt for those who are in the cataract group or are developing a cataract. In case of high refractive errors, this approach is the only option.
Photorefractive Keratectomy (PRK): The refractive errors of astigmatism, farsightedness, and nearsightedness are corrected by using an excimer laser. The surgery takes into consideration low to moderate degrees of these refractive errors. In this approach, certain underlying tough tissue is ablated and also the thin corneal epithelial layer is also detached. The final refractive state might not reach in 2-3 months. Initially, the eye may be a little uncomfortable for some days till the corneal surface layer grows again over the operative location. By using a topical treatment at the time of surgery along with the Mitomycin-C drug, the haziness of the eye can be prevented.
Phakic Intraocular Lens Implantation: In this approach, an intraocular lens is positioned either behind or in front of the iris. This lens works along with the natural eye lens so as to bend the light rays more properly. The approach is very beneficial for high degrees of myopia and benefits younger patients more as this allows them to focus near their natural lens.
Laser In-Situ Keratomileusis (LASIK): In this, a microkeratome is used for supporting the tissue and for making the corneal epithelium outer flap. With the help of an excimer laser, a specific underlying ablation is made. The LASIK procedure treats all the refractive errors. The results after LASIK are positive and involve faster recovery. The other major benefit of LASIK is that there is no discomfort or pain after the procedure. The technique of LASIK is the most popularly performed refractive procedure.
Laser In-Situ Epithelial Keratomileusis (LASEK): This approach is used for treating the epithelium (outermost corneal layer) layer with the help of dilute alcohol. Dilute alcohol is used for hardening the epithelium layer so as to dissect it aside and also increase its handling properties. The reshaping of the cornea is done by using an excimer layer to replace the epithelial layer. EpiLASIK is the new technique of this procedure in which the superficial layer of the cornea is pushed aside by using a mechanical instrument. Alcohol treatment is not required in such instruments.
Refractive Cataract Surgery in india
Refractive cataract surgery is a new term that can be described as the merging of modern refractive surgery techniques with traditional cataract surgery. The aim of this surgery is to eliminate the use of corrective eyeglasses and it also allows normal vision for those who have cataracts.
The new development in refractive cataract surgery is the usage of intraocular lenses (IOLs). A person can choose an IOL implant in both eyes if the cataract is in one eye. Refractive lens exchange (RLE) is the procedure by which a natural lens is replaced that has yet not developed a cataract.
Benefits of merging RLE in one eye and Cataract in the other eye –
- The condition of presbyopia is corrected with the help of a clear lens in order to reduce the requirement for reading glasses.
- An overall better refractive result in binocular vision.
- Preempting the requirement for cataract surgery of the eye in the future with a natural clear lens.
- The correction of refractive errors in the eye with the natural clear lens.
Types of Intraocular Lens (IOLs)
There are two types of IOLs that are used in refractive cataract surgery :
- Presbyopia Correcting IOLs
- Toric IOLs
Risks:
People with particular eye ailments involving the retina or cornea, patients, and pregnant women, who have medical problems like autoimmune diseases, diabetes, glaucoma, or uncontrolled vascular disease, aren’t good candidates for this surgery. Keratoconus is a progressive thinning of the cornea, which is a usual corneal illness. Keratoconus taking place after refractive surgery is known as Corneal Ectasia. It’s thought that extra thinning of the cornea via refractive surgery might lead to the advancement of the condition, which may result in the need for a corneal transplant. Corneal pachymetry and topography are used to diagnose for abnormal corneas. In addition, the shape of some people’s eye might not allow effective refractive surgery without taking out excessive quantities of corneal tissue. Those considering laser eye procedure must have a complete eye evaluation. Though the risk of complications is reducing in comparison to the early days of refractive surgery, there’s still a little chance for serious issues. These are vision issues like dry-eye syndrome, halos, ghosting, double vision, and starbursts. With procedures which make a lasting flap in the cornea (like LASIK), there is as well the chance of accidental traumatic flap displacement years after the procedure, with possibly devastating results if not offered prompt medical attention. For patients with strabismus, risks of complications like diplopia and/or increased strabismus angle should be examined thoroughly. In the event both strabismus surgery and refractive surgery refractive are to be done, it’s suggested that the refractive surgery be performed first.
Cost of Refractive Surgery In India
India is known for its specialized eye treatments. India has well-trained eye surgeons that understand the need and requirements of a patient. The cost-effective eye surgery in India attracts patients from all over the world.
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The Sight Avenue New Delhi
Airport Distance: 15 kms from Indira Gandhi International Airport, New Delhi.
Brief About:
- The Sight Avenue is the best eye hospital in North India.
- The Sight Avenue has experienced super-specialist doctors, smart diagnostic tools, and an advanced ophthalmologic surgical
- setup has helped In the single-day special eye treatment procedure.
Sharp Sight Centre New Delhi
Established in: 1998
Airport Distance: 22 Km
Brief About:
- Established in 1998, Sharp Sight Centre is a NABH accredited and CGHS approved eye hospital.
- As pioneers in eye care for over 20 years, Sharp Sight believes in providing eye care of international standards for all.
- With the trust of over 10 Lac delighted patients and more than 5 Lac successful surgeries and procedures, Sharp Sight has established itself as a leading eye care provider in North India with seven centres.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
Centre for Sight Hyderabad
Airport Distance: 33 Kms from Rajiv Gandhi International Airport Hyedrabad
Brief About:
- Centre for Sight located in Banjara Hills, Hyderabad is a single speciality hospital offering a wide spectrum of advanced medical treatments to its patients.
- Centre for Sight specializes in Lasik, cataract, glaucoma, SMILE, neuro-ophthalmology, retina, and uvea services.
- Centre for Sight consists of an experienced team of skilled professionals, aimed to provide the quality healthcare in eye care.
Bharti Eye Hospital New Delhi
Established in: 1985
Airport Distance: 17Km
Brief About:
- The Bharti Eye Hospital was established In 1985. Since Its Beginning, focused on providing the latest technology and facilities for procedures of treatment.
- With the aim to provide world-class facilities, comparable to the best in the world, Bharti Eye Hospital has always been striving to innovate procedures to provide not only better treatments but at lower costs too.
- Bharti Eye Hospital provides the best latest technology, surgical procedures and diagnostic facilities with the help of dedicated and competent super speciality consultants under one roof.
Center for Sight New Delhi
Airport Distance: 10 Km
Brief About:
- Established in 1996 by Dr Mahipal S Sachdev, an eminent ophthalmologist, and Padma Shri awardee, Centre for Sight (CFS) is a leading eye care provider in India.
- Centre for Sight is the pioneer in high-quality vision care for over two decades.
- Centre for Sight offers the entire range of modern ophthalmic treatments to its patients.
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- Providing a doctor’s opinion and proper quotation
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Eye7 Chaudhary Eye Centre
Airport Distance: 14 Kms from Indira Gandhi International Airport, New Delhi.
Brief About:
- Eye7 Chaudhary Eye Centre is a pioneer in high-quality vision care for more than three decades. Rated as one of the best eye hospitals in Delhi and NCR, it offers a full range of modern ophthalmic treatments to its patients.
- Eye7 Chaudhary Eye Centre is an ultramodern ophthalmology facility delivering quality vision care to the people of Delhi and NCR. With over 30 years in practice, this dedicated team of highly trained and compassionate doctors has successfully performed over 2,00,000 cumulative surgeries.
- Eye7 Chaudhary has four state-of-the-art hospitals in different parts of the city.
Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
Jaypee Hospital Noida
Number of beds: 525
ICU Beds : 150
Airport Distance: 32 KMs
Brief About:
- The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
- Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
- This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.
Jaslok Hospital Mumbai
Number of beds: 364
ICU Beds: 75
Airport Distance: 18 KMs
Brief About:
- The Jaslok Hospital & Research Centre is one of the oldest tertiary care, multi-specialty hospitals of the country.
- In the late 60s, when the establishment of large private hospitals was not common, the institution was conceptualized & endowed to the city of Mumbai by Seth Lokoomal Chanrai.
- The Government of India awarded Dr. Mehta the third highest civilian honour of the Padma Bhushan.
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