Eye Treatment

Eye Treatment - Overview

Ophthalmology is a part of medicine specializing in the anatomy, function, and diseases of the eye. An ophthalmologist (Eye M.D.), is a medical doctor who practices in the refractive, medical and surgical care of the eyes and visual system and in the prevention of eye disease and injury. The ophthalmologist is an expert who is qualified by lengthy medical education, training, and experience to diagnose, treat, and manage all eye and visual system problems.

Eye Treatment - Symptoms

Blurred, clouded or dim vision
Problem seeing at night
Problem seeing through light and glare
Seeing ‘halos’ around lights
Frequently changing contact lens prescription or eyeglasses
Faded view of colors

Eye Treatment - Pre-Procedure

Thorough checkup (Physician’s referral if required) Investigations

Blood pressure.
Blood sugar
ECG – (especially of cardiac and hypertensive cases).
Urine (R/M, Albumin)

Checkup for systemic illness

Diabetes
Chronic Pulmonary Conditions (COPD)
Hypertension & Cardiovascular Condition
Renal conditions etc.

Eye Treatment - During Procedure

Wounds that are unstable and the leak should be sutured to avoid hypotony and thereby minimizing the risk of infection.

At the completion of the surgery, topical fluoroquinolone antibiotics should be instilled in the conjunctival sac before the eye is bandaged.
Minimal handling of tissues
No wick left into anterior chamber-uvea/capsule/vitreous and complete removal and formation of the anterior chamber with irrigating fluid/Air.
No foreign material to be left in the surgical area.
Gloves to be changed after every case and scrubbing and gowning to be done after every 5-6 cases. If no touch techniques used, but if the gown gets wet due to accidental contact with the unsterile area, it should be changed immediately.
Separate surgical set to be used for all patients.
Sharps – Keratomes/blades/needle not to be reused unless sterilization procedure is undertaken.

Eye Treatment - Post-Procedure

Proper lid hygiene should be kept in the post-op period

Topical fluoroquinolone antibiotics 4-6 times per day should be given for 7 to 10 days along with topical steroids in tapering doses for 6 to 8 weeks. Cycloplegics if required as prescribed by the surgical team.
Personal hygiene to emphasized.
Avoid dust, smoke, and sunlight.
Wear protective dark glasses outdoors.
Frequency of installation of Eye drops as advised to be ensured.
Regular follow-up of the patients is necessary as below:
1 st post Operative day by surgeon necessary.
2 nd or 7th day