Pravinbhai Balubhai Charity Trust

India has highest number of blind people in world and most of them have preventable blindness.

Health and Care Foundation has all the facilities for prevention of blindness by providing specialized investigations, treatment and advanced surgery to all age group of patients.

This unit provides a comprehensive structure to render Hi-Tech facilities for treatment as mentioned below:

A) DIABETIC RETINOPATHY
B) PAEDIATRIC OPHTHALMOLOGY
C) CORNEAL TRANSPLANT
D) CATARACT – Adult & Pediatrict
E) MANAGEMENT – RETINOPATHY OF PREMATURITY
F) RETINA CLINIC
G) GLAUCOMA CLINIC

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A) DIABETIC EYE DISEASES

Refers to a group of eye problems that people with diabetes may face as a complication of diabetes. All can cause severe vision loss or even blindness.
This section may include:
– Diabetic retinopathy
– Diabetic Cataract
– Diabetic Glaucoma

  1. Diabetic Retinopathy: are the most common diabetic eye disease and a leading cause of blindness in adults. It is caused by changes in the blood vessels of the retina. There are two main stages of Diabetic Retinopathy:

a) Non-Proliferative: When the blood vessels leak, macular oedema may occur, thereby reducing vision.
b) Proliferative: When new, weak blood vessels grow or proliferate, bleeding into the vitreous may occur and cause severe visual loss.

People with proliferative retinopathy can reduce their risk of blindness by 95 per cent with timely treatment and appropriate follow-up care.
Treatment:

(a) Non proliferative Retinopathy:
During the non proliferative stages of diabetic retinopathy, no treatment is needed, unless you have macular oedema.

(b) Proliferative retinopathy:
Proliferative retinopathy is treated with laser surgery. This procedure is called scatter laser treatment. Scatter laser treatment helps to shrink the abnormal blood vessels.

(c) Macular Oedema:
Macular oedema is treated with laser surgery. This procedure is called focal laser treatment. Several hundred small laser burns in the areas of retinal leakage surrounding the macula. These burns slow the leakage of fluid and reduce the amount of fluid in the retina. The surgery is usually completed in one session. Focal laser treatment stabilizes vision.
Injection of Triamcinolone (steroid) into the eye helps to reduce the oedema.

2. Diabetic Cataract: are changes in clarity of the natural lens inside the eye that gradually degrade visual quality.
Cataract development is usually a very gradual process of normal aging but can occasionally occur rapidly. Cataracts commonly affect both eyes, but it is not uncommon for cataracts in one eye to advance more rapidly. Cataracts are very common, affecting roughly 60% of people over the age of 60, and more common in people with diabetes.

Causes:
Rarely, cataracts can present at birth or in early childhood as a result of hereditary enzyme defects, and severe trauma to the eye, eye surgery, or intraocular inflammation can also cause cataracts to occur earlier in life. Other factors that may lead to development of cataracts at an earlier age include excessive ultraviolet-light exposure, diabetes, smoking, or the use of certain medications, such as oral, topical, or inhaled steroids.

Symptoms:
Cataracts may cause a variety of complaints and visual changes, including blurred vision, difficulty with glare (often with bright sun or automobile headlights while driving at night), dulled colour vision, increased near-sightedness accompanied by frequent changes in eyeglass prescription, and occasionally double vision in one eye.

Surgery:
Phacoemulsification with IOL.

3. Diabetic Glaucoma: This is a condition that may occur in people with and without diabetes. It is usually caused by too much fluid pressing on the nerve at the back of the eye.The optic nerve is the ‘electric wire’ of the eye, taking messages about what you see on towards the brain. In the main type of glaucoma the optic nerve is pressed on by extra fluid in the eye, and this may damage the sight in the eye.

Glaucoma is diagnosed by:
– Measuring eye pressure
– Perimetery.

Glaucoma is treated by:
– Eye drops, and the commonest is one of the beta-blocker drops such as BETAXALOL,TEOPTIC or TIMOLOL.
– Surgery involves either laser treatment or making a cut in the eye to reduce the Intraocular pressure (IOP).

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Opthalmology 3
Opthalmology 2
Opthalmology 1

B) PAEDIATRIC OPHTHALMOLOGY:

C) CORNEAL TRANSPLANT

This refers to a group of diseases that occurred in children which may lead to blindness if not diagnosed & treated timely.

– Juvenile Cataract
– Juvenile Corneal Opacity
– Juvenile Glaucoma
– Juvenile Squint
– Juvenile Diabetic Retinopathy

It is a surgical procedure where a damaged cornea is replaced by donated corneal tissue taken from a recently deceased individual with no known diseases. It is indicated in Pseudophakic Bullous Keratopathy,Keratoconus, Corneal Degeneration, Keratoglobus And Dystrophyand trauma.

It is treated by Keratoplasty..

cornea transplant

D) CATARACT

E) MANAGEMENT - RETINOPATHY OF PREMATURITY

Cloudy area in the lens is called cataract and it can develop in one or both eyes. They are of two types: (a) Age related Cataract, (b) Childhood Cataract.

Causes:

1) Age
2) Close relatives who have/had cataracts (family history)
3) Diabetes
4) Long-term exposure to bright sunlight
5) Long-term use of corticosteroids
6) Previous eye inflammation
7) Previous eye injury

Diagnosis:

  • Visual acuity test
  • Slit-lamp examination

Treatment:

  • Phacoemulsification with IOL.

 

G) GLUCOMA CLINIC

Glaucoma is a condition that causes damage toeye’s optic nerve due to high intraocular pressure inside the eyes which within a few years lead to permanent loss of vision. It is the third leading cause of blindness in India. Statistically, it is reported to be 2% to 13% of the population suffering from this dreadful disease.Glaucoma can affect any age group, including newborn, infants, children and elderly.

Diagnosis:
 Family history
  • Tonometry
  • Perimetry
  • Pachimetry

 

PREVENTION

Glaucoma cannot be prevented, but if it is diagnosed and treated early, the disease can be controlled.

TREATMENT
Glaucoma treatment may include:
  • Eye drops for glaucoma.These either reduce the formation of fluid in the front of the eye or increase its outflow.
  • Laser surgery for glaucoma.Laser surgery for glaucoma slightly increases the outflow of the fluid from the eye in open-angle glaucoma or eliminates fluid blockage in angle-closure glaucoma.
  • Microsurgery for glaucoma.In an operation called a trabeculectomy, a new channel is created to drain the fluid, thereby reducing intraocular pressure that causes glaucoma. Infant or congenital glaucoma — meaning you are born with it — is primarily treated with surgery.

This is telemedicine project, first of its kind in western wherein pre mature babies as well babies weighing less then 2000 grams are screened through RETCam Machine in neonatal intensive care unit of Governments, Municipal Corporation and Private Sectors. The Retina images are analyzed by Retina Surgeons and in positive cases of retinopathy Inj. AVASTIN treatment are given to prevent childhood blindness.

F) RETINA CLINIC

Diabetes and hypertension are the two leading causes that affect the retina responsible to be partial or complete vision loss. Statistically it has been reported to be 20% of the diabetics and 11% of the hypertensive suffer from retinopathy and even suffer retinal detachment.

HCF has established Retina clinic to investigate retina damages as well to perform surgery to restore the vision.

glaucoma