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  • AdityaJyot Eye Hospital Performed Two Complicated Case of Retina Detachment and Open Globe Injury bestowed Wonderful Gift of Vision & Life to Two People.

    Published on July 16, 2014

    Mumbai: NABH accredited AdityaJyot Eye Hospital, India’s leading super specialty eye hospital that provides world class eye care service under one roof has once again succeeded in this mission. AdityaJyot Eye Hospital has performed two extremely rare and complicated case of retina detachment and has offered gift of vision and life to two young gentlemen who had actually lost their hope of getting their vision back when they were rejected by other leading hospitals in India. To the trauma patient, leading hospitals had advised to removethe eye.

    L-R Patients Mr. Sultan Shaikh, Dr S Natarajan and Patients Mr. Mukesh RanjanWith this success, AdityaJyot Eye Hospital has once again proved that all eye disorders including the most complicated ones are treated here with utmost precision and good success rate. Besides, the hospital has cutting-edge facilities both for basic and advances diagnostic tests and surgeries.

    Prof Dr S Natarajan, awarded Padmashree by President of India, India’s leading ophthalmologist and Chairman & Managing Director, AdityaJyot Eye Hospital said “Being a President of Ocular Trauma Society of India and also Board Member, International society of ocular Trauma & Secretary general of Asia Pacific Ophthalmic Trauma Society my suggestion and request to all my fellow colleagues across the world is not to primary enucleate the eye, however bad it is. We need to try and salvage the eye as much as possible. We at AdityaJyot Eye Hospital practices this thought to salvage the eye as much as possible rather than evisceration/ enucleate. I am extremely happy, proud and contended that our centre could offer this wonderful gift of sight to two young people as their earnings and life would have been extremely affected without their vision “.

    Prof Dr S Natarajan said “Retinal detachment is a very serious eye condition that happens when the retina separates from the underlying tissue. Since the retina can’t work properly under these conditions, you could permanently lose vision if the detached retina isn’t repaired promptly. Retinal detachment can be spontaneous or post traumatic; but simultaneously bilateral retinal detachment and that too Giant Retinal Tear is rare. Around three in a ten lakh of patients can get this kind of problem.”

    Mr. Sultan Shaikh a 40 year old transport truck driver from Vasai, Mumbai whose vision is very important for his living had lost all hopes when two leading hospitals had advised primary evisceration.

    He came to AdityaJyot Eye Hospital for second opinion with alleged history of assault by 8 people and trauma to his right eye with bamboo stick. He had history of nasal bleed and forehead laceration for which primary suturing was done at Golden Park Hospital. When the hospital realized that there is extreme complication in his eye as well, they immediately said that this cannot be treated  thereand  after  couple of hospitals advised for EVISCERATION which he was not willing and came to  Aditya Jyot Eye Hospital for second opinion. Mr. Sultan came to Aditya Jyot Eye Hospitalon June 11, 2014 with no perception of light in the right eye besides he was very anxious and he didn’t want to loose his eye.

    Dr S Natarajan said “He was diagnosed with Globe Rupture in the right eye. CT scan showed Distorted Right Globe.B Scan showed dense vitreous hemorrhage with Lens dislocation in the right eye. He underwent Primary Scleral Tear Repair with Intravitreal Antibiotics on 12/06/2014 and Globe was salvaged. Now, after a month the second surgery was done to repair the internal structures. Finally he got his vision back”.

    Mr. Sultan Shaikh said “This is a very precious gift to me in my life as when all doctors had rejected my case and there was no hope of getting my vision back, this doctor has been able to give me my vision. He is now more than a GOD to me.”

    The second patient Mr. Mukesh Ranjan case is moreexigent as it was a case of sudden blindness like what wesee inthe films. He is a 35 year old gentleman from Dharmpur Shimla District who works as a Branch Manager in UCO Bank. Since2004 he was using spectacles for short – sightedness.On 4thJuly 2014 he suddenly lost his vision while talking to his colleagueHe immediately rushed to nearby hospital and was referred to PGI Chandigarh where he was diagnosed with Bilateral symmetrical Retinal Detachment.Twomajor hospitals in the North had mentioned to him that there will be guarded visual improvement and possibility of retinal detachment in future. He had lost all hopes and when his sister who resides in Mumbai mentioned to him about Aditya Jyot Eye Hospital he immediatelyrushed to Mumbai.

    Dr S Natarajan said “MrMukesh Ranjan is an extremely rare case. He was diagnosed with bilateral symmetrical Giant Retinal Tear with total Retinal Detachment in both eyes.. He came here for evaluation.After counseling we operated him. He underwent 23 Gauge Vitrectomy + Encirclage Band+ primarySandwich Technique with Densiron (heavy oil) & Silicon Oil (1000CS; lighter oil) in the right eye. On first post operative day, his unaided vision was 6/18 & near vision with +2.75Ds was N12.He is confident of walking, reading and working on computer. This is a miracle. Usually following total retinal detachment with Giant retinal tear the improvement in vision takes time, usually gives glasses after 6 weeks from surgery. He did not need distant vision glasses. Need only near vision wear glasses temporarily.Now his second surgery on the left eye is planned for Thursday”.

    Mr. Mukesh Ranjan said“I came to thehospital, assisted by two attendants.and was unable to see anything and do things of my own. Now, after undergoingthe surgery in the right eye I am extremely happy that I am able to walk around and do things of my own without any assistance. Now, my hope is backthatafter my second surgery I will be completely normal and canjoin my work as a branch manager by next month”.

    Little Facts about Retina Detachment

    Who’s at Risk for a Detached Retina?

    You’re more likely to get a detached retina if you:

    • Are severely nearsighted 1/10,000
    • Have had an eye injury or cataract surgery 1/100
    • Have a family history of retinal detachment
    • Fellow eye rd

    You may have heard the words “retinal tear,” too. That’s not the same as a retinal detachment.

    Retinal tears often happen first. If fluid from within the eye passes through a retinal tear, that can separate the retina from its underlying tissue — and that’s retinal detachment. Retinal detachment may also happen with no warning. That’s more likely in elderly or very nearsighted people.

    If you are unsure about your risk of retinal detachment, talk to your eye doctor.

    What Are the Symptoms of a Detached Retina?

    A detached retina doesn’t hurt, so look for these symptoms:

    • Flashes of light
    • Seeing “floaters” (small flecks or threads)
    • Darkening of your peripheral (side) vision

    If you notice any of those symptoms, contact your eye doctor immediately.

    How Is a Detached Retina Diagnosed?

    Your health care provider would give you an eye exam, which would include dilating your eyes. That lets them see if your retina is detached.

    Early diagnosis is key to preventing vision loss from a detached retina.

    How Is a Detached Retina Treated?

    There are many ways to treat a detached retina. These include:

    • Laser (thermal) or freezing (cryopexy). Both of these approaches can repair a tear in the retina if it is diagnosed early enough. This procedure is often done in the doctor’s office.
    • Pneumatic retinopexy. This procedure can be used to treat retinal detachment if the tear is small and easy to close. A small gas bubble is injected into the eye (specifically, into the clear, gel-like substance between the lens and the retina), where it then rises and presses against the retina, closing the tear. A laser or cryopexy can then be used to seal the tear.
    • Scleral buckle. This treatment for retinal detachment involves surgically sewing a silicone band (buckle) around the white of the eye (called the sclera) to push the sclera toward the tear until the tear heals. This band is not visible and remains permanently attached. Thermal treatment may then be necessary to seal the tear.
    • Vitrectomy. This surgery for retinal detachment is used for large tears. During a vitrectomy, the doctor removes the vitreous (the clear, gel-like substance between eye’s lens and retina) and replaces it with a saline solution.

    Can a Detached Retina Be Prevented?

    Yes, in some cases.

    Getting an eye exam can flag early changes in your eyes that you may not have noticed. Treating those changes can help.

    You should get your eyes checked once a year, or more often if you have conditions such as diabetes that make you more likely to have eye disease. Regular eye exams are also important if you are very nearsighted, as nearsightedness makes retinal detachment more likely.

    If you have diabetes or high blood pressure, keeping those conditions under control will help the blood vessels in your retina, which is good for your eyes.

    Not sure how often you should get your eyes checked? Ask your eye doctor.

    You should also use the appropriate eye protection for certain activities. For instance, you should wear sports goggles with polycarbonate lenses while playing racquetball or certain other sports. You may also need eye protection if you work with machines, chemicals, or tools at work or home.

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