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For Your Better Vision because Vision
              matters !




            Dr. Agarwal’s Eye Hospital
Common Eye Problems
Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
REFRACTIVE ERRORS
1. Myopia (Short Sight or
   Minus Power)
•     EYE TOO LONG
•     CORNEA TOO CURVED
•     LIGHT RAYS FOCUSSED
    IN FRONT OF RETINA


2. Hyper Myopia ( Long Sight
   or Plus Power )
•     EYE TOO SHORT
•      CORNEA TOO FLAT
•      LIGHT RAYS FOCUSSED
    BEHIND THE RETINA




                      Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
PRESBYOPIA
ASTIGMATISM
 Surface of Eye is TOO          •A gradual loss of the eye’s ability to
  CURVATURE                      change focus from distant objects
 TWO POINTS OF FOCUS            to near-by objects
 IMAGE DOUBLED
 SHADOWING                      •Occurs due to diminished power of
                                 accommodation

                                 • Occurs in almost everyone after
                                 age 40 Loss of Elasticity of the lens
                                 due to aging




        How images appear in Presbyopia
                    Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
Near Vision - Presbyopia




       Dr. Agarwal’s Eye Hospital
• Glasses
• Contact Lenses
• Surgery :
    1) LASIK
    2) Femto Second assisted LASIK(Blade
  less    iLASIK)
    3) Phakic IOL (Intraocular Contact Lens)

               Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
Wearing Sunglasses After LASIK




Dr. Agarwal’s Eye Hospital
BENEFITS OF LASIK / LASER SURGERY

• Feeling better - Improved vision contributes to the total health and
  general youthful feeling that comes from clear vision and an alert mind.
• Look better - People who see better are more alert, attentive, and take
  care of their personal appearance better, including smiling with the joy of
  their new vision.
• Reduce stress - Poor vision is a proven stress factor. Restored vision
  after LASIK is a proven stress reducer. Therefore, you have reduced
  stress without tranquilizers and their side-effects.
• Enjoy greater energy - People with poor vision are less physically
  active. Improved vision may bring more energy. Think of how much more
  you could do and enjoy in every precious hour, day, and the rest of your
  life.
• Gain confidence - When you see better, look better and feel better, you
  will feel better about yourself too - personally, professional, and
  socially. This is a beautiful bonus of your improved vision.




                            Dr. Agarwal’s Eye Hospital
•   Reduce the risks of injury - People with poor vision have poor depth
    perception and side vision and are more prone to falling or driver's accidents
    that can hurt themselves or others. Do not risk your life or health with poor
    vision when it can be improved with LASIK treatment.
•   Reduce the rise of other health problems - Research has shown that other
    illnesses are less frequent in active, alert people. This could mean that
    diabetic problems, back pain, fatigue, and senility may not occur until much
    later in life when you have clear vision.
•   Maintain your strength and avoid disability - Clear vision from LASIK will
    restore your confidence and depth perception to allow you to remain
    active. This strengthens bones and ligaments to help prevent crippling
    arthritis. This is especially important for women to avoid osteoporosis.
•   Aging symptoms may be postponed - Increased physical activity with better
    vision/slows down many of the symptoms of aging, helping to keep your
    muscle tone, energy, and "youth" longer.
•   Add years to your life - People who have had their vision restored with LASIK
    are more physically active and are less prone to falling or driving
    accidents. These people generally live longer while enjoying a higher quality of
    life that comes with better vision and good health.




                             Dr. Agarwal’s Eye Hospital
LASIK
• “LASer” :meaning excimer laser
• “In situ”: meaning in place in the corneal
  bed under the flap and
• “Keratomileusis”:meaning to carve the
  cornea




               Dr. Agarwal’s Eye Hospital
• Procedure uses excimer laser to
  reshape cornea
• Procedure to correct myopia,
  hyperopia, and astigmatism
• LASIK is acronym for laser in situ
  keratomileusis


         Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
SYMPTOMS
•EYE STRAIN

•FATIGUE

•DRY EYE

•BURNING EYE

•LIGHT SENSITIVITY

•BLURRED VISION

•HEAD ACHE

•PAIN – NECK, BACK & SHOULDER

                     Dr. Agarwal’s Eye Hospital
Tips for Computer Users:
• Wear glasses, with UV protection while working at the
  computer
• Remind yourself to blink more often while working
• Take 15 or 20 second rest breaks every 15 minutes. Use this
  time to just look around the room.
• Adjust the position of your computer screen. It should be
  below eye level, so you’re looking down at it. A viewing
  distance of 20” to 26” inches is ideal.
• Keep your computer screen free of dust.
• Avoid bright overhead lighting that directly falls on your
  face.
• Uncomfortable chair & Position can cause neck
  strain, Adjust the height of the chair so that your feet are
  firmly on the ground.

                         Dr. Agarwal’s Eye Hospital
If you have DES, you may also experience the following symptoms

 Dry, gritty/scratchy, or filmy feeling in the eyes

 Burning or itching in the eyes

 Redness of the eyes

 Blurred vision

 A sensation of having a foreign body in the eyes

 Light sensitivity




                         Dr. Agarwal’s Eye Hospital
Dry eye syndrome (DES) is a common
disorder of the tear film, affecting a significant
percentage of the population, especially those
older than 40 years of age.




               Dr. Agarwal’s Eye Hospital
Decreased tear production
Excessive tear evaporation
An abnormality in the production of mucus or lipids normally found in
the tear layer
Poor production of tears by the tear glands may be a result of age.
Evaporative loss of the watery tear layer is usually a result of an
insufficient overlying lipid layer.
Some medications may decrease tear production.
When you read, watch TV, or perform a task that requires close
attention with your eyes, you may not blink as often. This decreased
blinking allows excessive evaporation of the tears.
Certain conditions, such as stroke make it difficult to close your eyes
on your own. As a result, your eyes may become dry from tear
evaporation.
Also, if an infection is present along the eyelids or the eyelashes.


                         Dr. Agarwal’s Eye Hospital
SELF-CARE AT HOME
•Excessive air movement dries out your eyes. Avoid having excessive air
movement by decreasing the speed of ceiling fans and/or oscillating fans.

•Large amounts of dust or other particulate matter in the air may worsen the
symptoms of dry eye. In those situations, an air filter may be helpful.

•Hot compresses and eyelid scrubs/massage with baby shampoo help by
providing a thicker, more stable lipid layer.

•Artificial tears and lubricating eyedrops and gels .

•If you notice your eyes are dry mainly while you are reading or watching TV,
taking frequent breaks to allow your eyes to rest and become moist and
comfortable again is helpful.


                            Dr. Agarwal’s Eye Hospital
Although no cure exists for DES, many treatments are
available. Treatment is dependent on the severity of DES. you
may only require a humidifier or occasional eye drops, or you
may require surgery to help treat DES.

Over-the-counter lubricating eye drops, commonly referred to
as artificial tears, may help relieve your dry eyes.




                   Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
Like -




         Dr. Agarwal’s Eye Hospital
Or -




       Dr. Agarwal’s Eye Hospital
Find -




         Dr. Agarwal’s Eye Hospital
Experience -




               Dr. Agarwal’s Eye Hospital
Need to




          Dr. Agarwal’s Eye Hospital
Then




       Dr. Agarwal’s Eye Hospital
Normal Lens                           Lens with cataract




Normal Optical Pathway                Affected Optical Pathway




     Clear Vision                          Blurred Vision
                     Dr. Agarwal’s Eye Hospital
Improves quality of life




     Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
The eye's natural lens is removed
                  and
replaced with an artificial lens, called an
         intraocular lens (IOL)




     Removal of cataract                 Replacement with artificial Lens
                      Dr. Agarwal’s Eye Hospital
• Done with ultrasonic handpiece
• Needs smaller incision size for removal of
  cataract
• Suitable for any type of IOL’s



                   Dr. Agarwal’s Eye Hospital
GLAUCOMA

Rise In Intra Ocular Pressure




       Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
• Have early detection
• Save your vision with correct treatment
• Enjoy Quality life




                   Dr. Agarwal’s Eye Hospital
Only treatment available - laser photocoagulation.

Types of photocoagulation:
• Panretinal photocoagulation

• Focal photocoagulation

• Grid photocoagulation




                            Dr. Agarwal’s Eye Hospital
No               Yes

    • Fading night vision can be a serious traffic hazard, particularly among
    older motorists who drive after dark
    • Wear Suitable Helmet or Goggles

Protect your Eyes From :
1.Flying particles, chips and pieces thrown off from machines or in an
industrial process.
2.Flying insects while traveling on an open road.
3.Light of extra-ordinary brightness or intensity.
4.Harmful rays from sources of light and heat.


                              Dr. Agarwal’s Eye Hospital
– Specks in the eye
   • Do not rub the eye.
   • Open the Eye Widely
   • Flush the eye with a large
     amount of water and Repeat
     the same.
   • See a doctor if the Speck does
     not wash out, or if pain or
     redness continues.

– Cuts, punctures, or objects stuck
  in the eye
    • Do not wash out the eye.
    • Do not try to remove an object
      stuck in the eye.
    • See a doctor immediately
      without further delay.


                         Dr. Agarwal’s Eye Hospital
•   TAKE A STRETCHING BREAK
•   USE GOOD LIGHTING
•   TILT YOUR BOOK
•   SIT 6 TO 8 FEET FROM THE TELEVISION




                     Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital
Dr. Agarwal’s Eye Hospital

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Eye Care Tips

  • 1. For Your Better Vision because Vision matters ! Dr. Agarwal’s Eye Hospital
  • 2.
  • 6. REFRACTIVE ERRORS 1. Myopia (Short Sight or Minus Power) • EYE TOO LONG • CORNEA TOO CURVED • LIGHT RAYS FOCUSSED IN FRONT OF RETINA 2. Hyper Myopia ( Long Sight or Plus Power ) • EYE TOO SHORT • CORNEA TOO FLAT • LIGHT RAYS FOCUSSED BEHIND THE RETINA Dr. Agarwal’s Eye Hospital
  • 9. PRESBYOPIA ASTIGMATISM  Surface of Eye is TOO •A gradual loss of the eye’s ability to CURVATURE change focus from distant objects  TWO POINTS OF FOCUS to near-by objects  IMAGE DOUBLED  SHADOWING •Occurs due to diminished power of accommodation • Occurs in almost everyone after age 40 Loss of Elasticity of the lens due to aging How images appear in Presbyopia Dr. Agarwal’s Eye Hospital
  • 11. Near Vision - Presbyopia Dr. Agarwal’s Eye Hospital
  • 12. • Glasses • Contact Lenses • Surgery : 1) LASIK 2) Femto Second assisted LASIK(Blade less iLASIK) 3) Phakic IOL (Intraocular Contact Lens) Dr. Agarwal’s Eye Hospital
  • 14. Wearing Sunglasses After LASIK Dr. Agarwal’s Eye Hospital
  • 15. BENEFITS OF LASIK / LASER SURGERY • Feeling better - Improved vision contributes to the total health and general youthful feeling that comes from clear vision and an alert mind. • Look better - People who see better are more alert, attentive, and take care of their personal appearance better, including smiling with the joy of their new vision. • Reduce stress - Poor vision is a proven stress factor. Restored vision after LASIK is a proven stress reducer. Therefore, you have reduced stress without tranquilizers and their side-effects. • Enjoy greater energy - People with poor vision are less physically active. Improved vision may bring more energy. Think of how much more you could do and enjoy in every precious hour, day, and the rest of your life. • Gain confidence - When you see better, look better and feel better, you will feel better about yourself too - personally, professional, and socially. This is a beautiful bonus of your improved vision. Dr. Agarwal’s Eye Hospital
  • 16. Reduce the risks of injury - People with poor vision have poor depth perception and side vision and are more prone to falling or driver's accidents that can hurt themselves or others. Do not risk your life or health with poor vision when it can be improved with LASIK treatment. • Reduce the rise of other health problems - Research has shown that other illnesses are less frequent in active, alert people. This could mean that diabetic problems, back pain, fatigue, and senility may not occur until much later in life when you have clear vision. • Maintain your strength and avoid disability - Clear vision from LASIK will restore your confidence and depth perception to allow you to remain active. This strengthens bones and ligaments to help prevent crippling arthritis. This is especially important for women to avoid osteoporosis. • Aging symptoms may be postponed - Increased physical activity with better vision/slows down many of the symptoms of aging, helping to keep your muscle tone, energy, and "youth" longer. • Add years to your life - People who have had their vision restored with LASIK are more physically active and are less prone to falling or driving accidents. These people generally live longer while enjoying a higher quality of life that comes with better vision and good health. Dr. Agarwal’s Eye Hospital
  • 17. LASIK • “LASer” :meaning excimer laser • “In situ”: meaning in place in the corneal bed under the flap and • “Keratomileusis”:meaning to carve the cornea Dr. Agarwal’s Eye Hospital
  • 18. • Procedure uses excimer laser to reshape cornea • Procedure to correct myopia, hyperopia, and astigmatism • LASIK is acronym for laser in situ keratomileusis Dr. Agarwal’s Eye Hospital
  • 20. SYMPTOMS •EYE STRAIN •FATIGUE •DRY EYE •BURNING EYE •LIGHT SENSITIVITY •BLURRED VISION •HEAD ACHE •PAIN – NECK, BACK & SHOULDER Dr. Agarwal’s Eye Hospital
  • 21. Tips for Computer Users: • Wear glasses, with UV protection while working at the computer • Remind yourself to blink more often while working • Take 15 or 20 second rest breaks every 15 minutes. Use this time to just look around the room. • Adjust the position of your computer screen. It should be below eye level, so you’re looking down at it. A viewing distance of 20” to 26” inches is ideal. • Keep your computer screen free of dust. • Avoid bright overhead lighting that directly falls on your face. • Uncomfortable chair & Position can cause neck strain, Adjust the height of the chair so that your feet are firmly on the ground. Dr. Agarwal’s Eye Hospital
  • 22. If you have DES, you may also experience the following symptoms  Dry, gritty/scratchy, or filmy feeling in the eyes  Burning or itching in the eyes  Redness of the eyes  Blurred vision  A sensation of having a foreign body in the eyes  Light sensitivity Dr. Agarwal’s Eye Hospital
  • 23. Dry eye syndrome (DES) is a common disorder of the tear film, affecting a significant percentage of the population, especially those older than 40 years of age. Dr. Agarwal’s Eye Hospital
  • 24. Decreased tear production Excessive tear evaporation An abnormality in the production of mucus or lipids normally found in the tear layer Poor production of tears by the tear glands may be a result of age. Evaporative loss of the watery tear layer is usually a result of an insufficient overlying lipid layer. Some medications may decrease tear production. When you read, watch TV, or perform a task that requires close attention with your eyes, you may not blink as often. This decreased blinking allows excessive evaporation of the tears. Certain conditions, such as stroke make it difficult to close your eyes on your own. As a result, your eyes may become dry from tear evaporation. Also, if an infection is present along the eyelids or the eyelashes. Dr. Agarwal’s Eye Hospital
  • 25. SELF-CARE AT HOME •Excessive air movement dries out your eyes. Avoid having excessive air movement by decreasing the speed of ceiling fans and/or oscillating fans. •Large amounts of dust or other particulate matter in the air may worsen the symptoms of dry eye. In those situations, an air filter may be helpful. •Hot compresses and eyelid scrubs/massage with baby shampoo help by providing a thicker, more stable lipid layer. •Artificial tears and lubricating eyedrops and gels . •If you notice your eyes are dry mainly while you are reading or watching TV, taking frequent breaks to allow your eyes to rest and become moist and comfortable again is helpful. Dr. Agarwal’s Eye Hospital
  • 26. Although no cure exists for DES, many treatments are available. Treatment is dependent on the severity of DES. you may only require a humidifier or occasional eye drops, or you may require surgery to help treat DES. Over-the-counter lubricating eye drops, commonly referred to as artificial tears, may help relieve your dry eyes. Dr. Agarwal’s Eye Hospital
  • 28. Like - Dr. Agarwal’s Eye Hospital
  • 29. Or - Dr. Agarwal’s Eye Hospital
  • 30. Find - Dr. Agarwal’s Eye Hospital
  • 31. Experience - Dr. Agarwal’s Eye Hospital
  • 32. Need to Dr. Agarwal’s Eye Hospital
  • 33. Then Dr. Agarwal’s Eye Hospital
  • 34. Normal Lens Lens with cataract Normal Optical Pathway Affected Optical Pathway Clear Vision Blurred Vision Dr. Agarwal’s Eye Hospital
  • 35. Improves quality of life Dr. Agarwal’s Eye Hospital
  • 37. The eye's natural lens is removed and replaced with an artificial lens, called an intraocular lens (IOL) Removal of cataract Replacement with artificial Lens Dr. Agarwal’s Eye Hospital
  • 38. • Done with ultrasonic handpiece • Needs smaller incision size for removal of cataract • Suitable for any type of IOL’s Dr. Agarwal’s Eye Hospital
  • 39. GLAUCOMA Rise In Intra Ocular Pressure Dr. Agarwal’s Eye Hospital
  • 41. • Have early detection • Save your vision with correct treatment • Enjoy Quality life Dr. Agarwal’s Eye Hospital
  • 42. Only treatment available - laser photocoagulation. Types of photocoagulation: • Panretinal photocoagulation • Focal photocoagulation • Grid photocoagulation Dr. Agarwal’s Eye Hospital
  • 43. No Yes • Fading night vision can be a serious traffic hazard, particularly among older motorists who drive after dark • Wear Suitable Helmet or Goggles Protect your Eyes From : 1.Flying particles, chips and pieces thrown off from machines or in an industrial process. 2.Flying insects while traveling on an open road. 3.Light of extra-ordinary brightness or intensity. 4.Harmful rays from sources of light and heat. Dr. Agarwal’s Eye Hospital
  • 44. – Specks in the eye • Do not rub the eye. • Open the Eye Widely • Flush the eye with a large amount of water and Repeat the same. • See a doctor if the Speck does not wash out, or if pain or redness continues. – Cuts, punctures, or objects stuck in the eye • Do not wash out the eye. • Do not try to remove an object stuck in the eye. • See a doctor immediately without further delay. Dr. Agarwal’s Eye Hospital
  • 45. TAKE A STRETCHING BREAK • USE GOOD LIGHTING • TILT YOUR BOOK • SIT 6 TO 8 FEET FROM THE TELEVISION Dr. Agarwal’s Eye Hospital