Cataract Report by Dr Uday Gadgil- Final

8/10/2019 Cataract Report by Dr Uday Gadgil- Final

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Dr.Gadgils Eye Hospital Page 1

Address: 1stFloor, Paradise Towers, Near McDonalds, Gokhale Rd., Thane Phone No.022-25422912/13.

Timings:11.30a.m. -1 & 6.309 p.m. (Sunday Closed) Mobile:9819321818 www.DrGadgilEyeClinic.com

6 MistakesCataract Patients Make That Cause

Unnecessary Complications in Treatment and How

to Avoid them

Mistake 1: Choosing the Wrong Doctor

Many patients do not ask if the Doctor has enough relevant experience. Many times,

this leads to an inexperienced Doctor performing the surgeries. These Doctors learn

from the mistakes they make on your precious eyes.

What you should do:

Ask how many Cataract Surgeries your Doctor has performed. Ask for details of past

patients and feel free to call up a few past patients to get their opinion. Ask about the

current kind of surgery that the Doctor is performing and how many eyes he hasoperated upon using this current procedure. (This report provides you with an overview

of the different kinds of Surgeries performed to treat cataracts.). Doctor Uday Gadgil

has been performing Catarct Surgeries for the pastYY years

Mistake 2: Not using the eye drops prescribed by the Doctor as per

his recommendations.

When patients do not follow the doctors instructions in the use of the prescribed eye

drops, they may experience pain and swelling inside the eye. Worse, they may even get

an infection and unnecessarily complicate their treatment.

What you should do

Make sure you follow the Doctors prescription totally. Use the exact dosage for the

exact period of time recommended by your Doctor. If the Doctor has prescribed a

painkiller, take it as per his instructions. Chances are it also functions to bring down


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swelling and promote healing along with reducing pain. Not taking it may slow down the

healing process.

Mistake 3: Performing tasks contrary to Doctors Instructions

Patients who insist on lifting heavy objects, bending down from the waist and performing

tasks that the Doctor has instructed them to avoid, are putting themselves at great risk.These tasks increase the pressure in the eye and can cause complications in the

operated eye.

What you should do

Avoid certain tasks for a few weeks after your cataract surgery. Your Doctor will give

you clear instructions about what these tasks are. By following your Doctors

instructions, you are helping your body to heal better and faster, without trouble.

Mistake 4: Not discussing your current medication in detail with your

Doctor.

There are certain medicines (like Tamsulosin) that can cause serious problems (such as

Intraoperative floppy iris syndrome (IFIS) ) in the eye after a cataract surgery even

when the medicine has been discontinued for year before the surgery in some

cases.

What you should do:

Give a full, detailed exhaustive list of all the medicines you are taking currently and have

taken in the recent past to your doctor. S/He can then advise you on managing the

medication to avoid complications during the surgery.

Mistake 5: Not going for proper Follow-up check-ups

Patients often skip follow-up visits. In this case, some problems that may be prevented if

detected earlier, are allowed to manifest till they are major complications.

What you should do

Visit the Doctor when the visit is scheduled. It is up to you to keep track of your date of

operation and the number of weeks going by. Make sure you meet your doctor as per

his/her recommendations. Follow-up check-ups are required at different stages of the

healing process so that the Doctor can ensure that you are healing properly and there

are no unwanted complications.

Mistake 6: Not gathering enough information


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Patients often blindly rely on what the Doctor recommends without reading any

additional information. They are vulnerable to being misled.

What you should do

Take the time to gather information (such as this report) and go through it before your

treatment. This helps you to take an informed decision on what is best for you.

Did You Know?

Cataract surgery was known in South Asia at a very early period, and was described by

theIndian physicianSushruta( 800 BC), who described it in his work the Compendium of

Sushruta orSushruta Samhita.

How we seeThe retina is like a camera film which stores an image of

what we are looking at. The image directed onto the

retina is then sent along to the brain where it is

processed, like developing a camera film. Therefore we

actually "see" in our brain with the light information sent

to it from our eyes.

What is cataract?

A cataract is an eye disease in which the normally clear lens of the eye becomes cloudy or opaque,

causing a decrease in vision. Cataracts are usually a very gradual process of normal aging but can

occasionally develop rapidly. They commonly affect both eyes, but it is possible for a cataract in one

eye to advance more rapidly. Cataracts are very common, affecting roughly 60% of people over the

age of 60.
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Why do Cataracts Occur?Precisely why cataracts occur is unknown.

But as we age, some of the protein mayclump together and start to cloud a smallarea of the lens. This is a cataract, and overtime, it may grow larger and cloud more ofthe lens, making it harder to see.

Many studies suggest that exposuretoultraviolet light is associated with cataractdevelopment. people with diabetes, users ofsteroids, diuretics, hormone replacementtherapy (HRT) and major tranquilizers areat risk for developing a cataract.

What is the treatment for cataracts?Many cataracts are not bothersome, In that situation, no surgical treatment is

necessary. However, the only true treatment for cataract is surgical removal of the

cloudy lens.

Surgery is suggested if the patient loses the ability to perform necessary activities of

everyday life, such as driving, reading, or looking at computer or video screens, even

with glasses, and there is the expectation that vision will improve as a result of the

surgery.

Depending on a patient's specific visual needs, surgery is sometimes done on cataracts

that are not very dense or surgery can wait until the cataract and the vision gets more

cloudy. Since the lens of the eye is necessary to accurately focus light onto the retinal

surface and removal of the cataract involves removal of the lens, modern cataract

surgery combines removal of the lens with placement of a new artificial lens into theeye. Cataract removal is very common in India.

What is the progression of cataracts?The rate of progression of cataracts is usually predictable and surgery is successful in

restoring vision in a large majority of cases. If other diseases are present within the eye,

View through a normal, clear lens (above) and view through a cloudy cataract lens (below)
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the degree of visual improvement will be limited by the other disease process. Your

EYE Doctor can usually determine this in advance.

When should you have Cataract Surgery?

Most cataracts associated with aging develop slowly, and many patients may not noticevisual loss until it is fairly advanced.

Despite being told that you have cataracts, it is not imperative to have surgery to

remove them until they begin to affect your vision.A Cataract needs to be removed only

when vision loss interferes with your everyday activities, such as driving, reading,

participating in sports, or watching TV.

Thus, the decision and timing to proceed with cataract surgery is individualized for each

patient. You and your Doctor can make this decision together. Your doctor will be able

to tell you how much of your vision loss is due to cataracts and the type of visualrecovery that may be expected if surgery is chosen.

If the eye has other diseases that have caused visual loss such asglaucoma,macular

degeneration,diabetic retinopathy,or optic nerve damage from glaucoma, cataract

surgery may not improve the vision significantly.

People who need cataract surgery may also have other eye conditions, such as age-

related macular degeneration or glaucoma. If you have other eye conditions in addition

to a cataract, please talk with your eye doctor to learn about the risks, benefits,

alternatives, and expected results of cataract surgery in your particular case.

If both eyes have cataracts and surgery is agreed upon, the surgery on the second eye

is generally planned at least a week after the first eye. There is usually no harm in

waiting a much longer period of time between the two eye operations.

What are the different Types of Surgery?There are five types of cataract surgery to remove your cataract and replace it with an

intraocular lens (IOL) implant to help improve your vision. They are

Phacoemulsification, Femtosecond Laser-Assisted Cataract Surgery,

Extracapsular Cataract Surgery, Intracapsular cataract extraction (ICCE),Cryoextraction(A form of ICCE). Your eye doctor can explain the differences and help

determine which method better for you. The most common procedure is

Phacoemulsification.

Phacoemulsification(or "phaco"):
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quality distancevision, usuallywith only a lightpair ofspectacles.

Focus Monofocal lensesare in sharpestfocus at only onedistance.

Toric lenseshave morepower in onespecific region inthe lens tocorrectastigmatism aswell as distancevision. Due tothe difference inlens power indifferent areas,the correction ofastigmatism witha toric lensrequires that thelens bepositioned in avery specificconfiguration.

They are oftenreferred to as"premium"lenses becausethey aremultifocal andallow thepatient tovisualizeobjects at morethan onedistance,removing theneed to weareyeglasses orcontact lenses

Anaccommodativeintraocular lensimplant hasonly one focalpoint, but it actsas if it is amultifocal IOL.The intraocularlens wasdesigned with ahinge similar tothe mechanicsof the eye'snatural lens. Sothe eyemuscles canchange thefocus of thislens as they dowith the naturallens.

Requirement

ofSpectaclesPostSurgery

Patients who

have hadmonofocalintraocular lensesimplanted usuallyrequire readingglasses.

While toric

lenses canimprove distancevision andastigmatism, thepatient still willrequirecorrective lensesfor all near tasks,such as readingor writing.

Patient

generally doesnot requirespectacles postsurgery

Additional Your surgeonmay correct yourastigmatism atthe time ofcataract surgeryby making one ortwo additional

No additionalincisions (on thecornea) arerequired whenthese lenses areused to correctastigmatism

Premiumintraocularlenses arethose used incorrectingpresbyopia orastigmatism.

This is alsoconsidered apremium lens.You may haveto pay thedifferenceyourself.
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incisions in theperiphery of thecornea. Thisdoes not makethe surgery moredangerous.People withsignificantastigmatismrequire correctivelenses forsharpest vision atall distances.

Premiumintraocularlenses aretypically notcoveredbyinsurancecompanies astheir additionalbenefits areconsidered aluxury and nota medicalnecessity

However, itgreatlyfacilitates betterVision.

What Does Cataract Surgery Involve?Cataract surgery involves removing the cloudy lens in your eye and replacing it with an

artificial lens known as an IntraocularLens Implant(also known as an IOL). The

femtosecond lasers are now being used to assist with cataract surgery.

What to expect in Cataract Surgery?What Tests Are Generally Performed Before Cataract Surgery?

A week or two before cataract surgery, your doctor will do some tests on your eyes.

These tests may include measuring the curve of the cornea and the size and shape of

each eye. The information from these tests and measurements helps your eye surgeon

recommend the type of Intraocular Lens Implant that can best improve your vision

problems.

What to Expect Just Before Cataract Surgery

It is important to remember to follow all of your preoperative instructions.

As cataract surgery is done in a Hospital / Clinic, arrangements should be made

with family or friends to transport you home after the surgery is complete.

You will have a medical check-up by your regular doctor to make sure it is safe to

have cataract surgery. This check up will usually include blood tests and an EKG.

You will be asked not to eat or drink anything 12 hours before your cataract

surgery.You may also be asked to apply eye drops on the day before surgery.

What Happens During Cataract Surgery?

To prepare your eye for cataract surgery, drops will be put into your eye to dilate the

pupil and the area around your eye will be washed and cleansed.
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Cataract surgery usually lasts less than one hour ( many times only 15 minutes) and is

almost painless. Many patients choose to stay awake during surgery. Others may need

to be put to sleep for a short period of time.

If you are awake, you will have an anesthetic to numb the nerves in and around your

eye.

After cataract surgery, a patch may be placed over your eye.After leaving the operating

room, you will be brought to a recovery room where your doctor will prescribe several

eye drops that you will need to take for a few weeks postoperatively.

You will rest for a while. Your medical team will monitor your eye for any problems, such

as bleeding.

Most patients who have cataract surgery can go home within an hour of the procedure.

You should always arrange for someone to drive you home.

While you may notice some discomfort, most patients do not experience significant pain

following surgery; if you do you experience decreasing vision or significant pain, you

should contact your ophthalmologist immediately.

What Happens After Cataract Surgery?

You may experience little Itching and mild discomfort are normal after cataract surgery.

Some fluid discharge is also common. Your eye may be sensitive to light and touch.

After one or two days, moderate discomfort should disappear. If you have any

discomfort that continues, contact your eye doctor to get this treated.

For a few days after surgery, your doctor may ask you to

use eye drops to help healing and decrease the risk of

infection. Ask your doctor about how to use your eye drops,

how often to use them, and what effects they can have.

You will need to wear an eye shield or eyeglasses to help

protect your eye. Avoid rubbing or pressing on your eye.

When you are home, try not to bend from the waist to pick up objects on the floor. Do

not lift any heavy objects. You can walk, climb stairs, and do light household chores.

In most cases, healing will be complete within eight weeks. Your doctor will schedule

exams to check on how you are progressing.

Following surgery, you will need to return for visits within the first few days and again

within the first few weeks after surgery. During this time period, you will be using several

eyedrops which help protect against infection and inflammation.


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Within several days, most people notice that their vision is improving and that they are

able to return to work. During the several office visits that follow, your doctor will monitor

for complications.

Once vision has stabilized, your doctor will fit you with glasses if needed. The type of

intraocular lens you have implanted will determine to some extent the type of glasses

required for optimal vision.

What Problems Can Develop After CataractSurgery?Problems after cataract surgery are very rare, problems can include infection, bleeding,

inflammation (pain, redness, swelling), loss of vision, double vision, and high or low eye

pressure. If any of this occurs, please meet your Doctor immediately since these

problems can usually be treated successfully.

Problems generally occur due to patients non-compliance with Doctorspost-operativecare instructions and when patients do not give

complete, detailed, exhaustive lists of current medication they are

taking. For example, a common drug used for patients with Prostate

problems can cause a complication called Floppy Iris Syndrome after

cataract Surgery.

When you discuss your current medication properly with your Doctors, they can advise

you on managing medication to minimize the risk of complications.

When Will Your Vision Return To Normal?You can return quickly to many everyday activities, but your visionmay be blurry. The healing eye needs time to adjust so that it can

focus properly with your other eye, especially if your other eye has

a cataract. Be sure to ask your eye doctor when it is safe for you

to resume driving.

If you received anIOL(lens implant), you may notice that colors

have become brighter than before. This is because IOL is clear,

unlike your natural lens which may have had a yellowish or brownish tint. Typically, you

will become accustomed to the improved vision within a few months after receiving anIOL. Also, when your eye heals, you may need new glasses or contact lenses

depending on the type of lens you had implanted and what vision correction was

achieved.

What should You Do Now?
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The reason you have this report is because you or someone close to you has been

diagnosed with Cataract.

Please get whatever information you can and then write

down a list of questions youd like to ask your Doctor

when you meet him.

Fix up an appointment with the Doctor and discuss all

your concerns in detail.

Find out if the Doctor has enough relevant experience.

Fix a path of treatment with your Doctor and stick to it.

All the Best!

About Dr.Gadgils Eye Hospital

Doctor Gadgil, from Thane, made the entire Indian Medical

Fraternity proud when he presented his Pioneering Laser

Vision Correction Technology at the European

Ophthalmologists convention in Vienna on 21/09/2011. The

6000+ Ophthalmologists at the convention appreciated the

fact that patients who previously could not get this

procedure done because of very thin cornea can now safely

undergo laser vision correction thanks to Dr.Gadgils

innovative procedure.

Dr.Gadgil established his Eye Hospital and Laser clinic in Thane in 1992 and since

then, he has treated over 1,30,000 patients, conducted over 9,500 surgeries and used

his new procedure to successfully correct 500 patients vision over the last two years.

The Doctor ensures that his hospital and clinic are constantly getting the latest

machines and keeps up-to-date with the latest changes in medical technology. He

considers this necessary as he also teaches ophthalmic surgery to other Doctors. For

instance, the clinic currently has a German Allegra 400hz Wave light Eximer laser

machine, Ocular topolyser, Wave light analyzer, aberometry, Zeiss Humphrey

perimeterthe list goes on.

The Doctors philanthropic side shows as he conducts Free Eye -Check-Up camps twice

a year and offers free consultation at his clinic to the first five patients at his clinic on

Wednesday evenings.


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All this and the fact that his clinic is situated close to Thane Station near McDonalds

restaurant, ensures that the Hospital attracts patients not just from Mumbai and Navi

Mumbai but from all over Maharashtra. Young Girls who would like to get rid of

spectacles for beauty reasons or before their marriage, Youth seeking jobs where

spectacles are a deterrent such as aspiring pilots, sportspersons, Cataract patients,

Glaucoma patients, diabetics with eye diseases, people with minor or major eye injuries

and ailments, all flock to Dr.Gadgil Eye Hospital and Ultralase LASIK centre to ensure

that they get treated by a world renowned, Experienced Doctor, and find solutions

to all their eye problems at one locationwhile being assured of the best diagnosis

and state of the art technology. Thanks to Doctor Gadgil Eye Hospital, World class

treatment is now available right here in Thane.

Heres what some of our patients have to say:(Phone Numbers available on request)

Satisfactory. No Complaints. Good Doctor.

- Jaykumar D Purohit. 71 yrs, Kolshet Road, Thane.

Staff is very helpful, Doctor, Mrs.Gadgil, really helpful

and explained all other important information /

precaution in very excellent way. Satisfied in toto.

- Vijaya D Joshi, Bhandup (E),

Very Nice

- Ramesh H Mhatre, 64yrs , Vitawa, Thane.

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Cataract Report by Dr Uday Gadgil- Final

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