Shroff Eye Hospital

Qts.: The dilation drops used by me for the procedure were tropicamide drops, this was on Thursday 3 June 2010 and as we know tropicamide is a short acting drug. I am currently using prednisone ofloxacin combination. Can that cause blurring? I have trouble accommodating to nearby objects and i m also feeling difference in vision in both the eyes in far vision, consequently I can’t read the nearby and far off objects with my right eye as I used to before. My doctor advised me the following; ''the effect of blurring may be due to tropicamide drops, but that is been 3 days since last use''?

Ans.: Please wait for a week and see if the blurring improves, if it does not, then re visit the doctor. If in Mumbai we would be glad to examine you, but in the absence of an examination, rather difficult to rely on guesswork. You may call 66921000 and meet with our retinal specialist, Dr Rahul Shroff. Blurring can also be that the vision may not be as sharp as that of the normal eye, so do not compare both..

Qts.: I was diagnosed with multiple retinal lattices bilaterally during a routine checkup on Wednesday 2 June 2010, though I m asymptomatic for the same, I was found to have a lattice from 4'o clock to 8.30 and from 11'o clock till 12'o clock in the right eye. The laser therapy for the right eye was done on Thursday 3 June 2010.since then I m having blurred vision in the right eye and trouble reading my books and any far off sign board.

Ans.:Do not compare your eye condition to someone else's as this will not match in any case. The blurred vision post laser (Argon) is natural and part of healing. This can also be explained by the treating doctor. The drops used to dilate the eyes also cause a fair amount of blurriness for reading. I am sure that you still are using some eye drops. Speak to your treating doctor as he/she will know what exactly is happening by their examination and will be able to guide you better.

Qts.: Following internal hemorrhage in the eye due to trauma my daughter developed a retinal hole. It was fixed with laser treatment. Can the doctor know by examining that the hole has been fixed properly? Can she develop some more holes over the next one year? Have we done the correct thing by opting for laser over cryotherapy?

Ans.: Yes the FFA test tells the doctor where to do the Argon Laser and the doctor with his equipment can see the halt of the bleed. Also, the follow up check with full, dilation will determine that the laser treatment is complete. if under the care of a good retinal specialist, you are in safe hands. You may read more about it on www.shroffeye.org.

Qts.:I have a freckle on the optic nerve of my left eye. If this freckle were to enlarge, would I be completely out of luck as to preserving my vision? What types of surgery could I consider? Also, what would be the side effects? For example, would my iris look different? Or maybe could a surgery such as this help my vision, for I am already near sighted?

Ans.: I do not think that the term 'freckle' would be correct at least medially, but not knowing what it is exactly, one cannot comment on this as any lesion on the optic nerve needs even a neurologist to look into this. If you have a report, that you can scan and e mail, it would be better. Please send the information on dranand@lasikindia.in.

Qts.: After a fall and a bump over my left eye, I was later diagnosed with a small retinal hole in my left eye. No treatment was recommended. However, because my vision continues to be distorted with numerous cloudy spots, I have been referred to a Retinal Specialist. Is treatment always necessary or when would treatment be necessary?

Ans.:If there are any weak areas or holes and tears, it is best treated with a very simple procedure called Argon Laser. The reason why one must treat is because there is a higher risk of tearing a much larger area and may involve a very major retinal surgery for a condition called retinal detachment. Hence the laser is done more as a preventive step to avoid a bigger disaster later. The retinal specialist is whom one would need to visit for this, so you are on the right track. You can read more about this treatment on www.shroffeye.org.

Qts.: I’ve myopia since from 14 yrs-now 23 yrs old. My power was -2.75(both eyes) at 14. So I’m using glasses till now. Now my power is -5.75(both eyes). In May 2005, I was diagnosed with retinal degeneration. So I underwent laser barrage in both eyes. After that I’m going for check up regularly. Recently I had somewhat severe pain in my left so I consulted another retina specialist. He said I had abnormal blood vessel growth in my left eye and retinal hole. So I underwent Laser treatment again (2 sittings for left eye alone). He said I’ve to undergo Laser Treatment for weak spots in my Right eye also. What can be done to cure this forever sir please reply?

Ans.: You must follow the advise of the retinal specialist as some are prone to this retinal issue esp with myopes. Regular visits are required as well. There is only preventive treatment in the tune of what you are undergoing. If in Mumbai, you may visit Dr Rahul Shroff who is our retinal specialist with vast experience.

Qts.: I have had Rezoom lens implants in both eyes. The vision in both eyes deteriorated some time later and I got the feeling of viewing things through a film even though I could still struggle and see. My surgeon attributed this to clouding of a membrane in the rear of the eye behind the implants and recommended laser treatment to remove the membrane. I consented and the laser was used on my right eye 2 weeks ago. Since the day after treatment, vision in that eye has deteriorated. The surgeon states that in rare cases, mine being one of them, fluid is absorbed by the retina causing distortion but by using a combination of pred-forte and ocular the condition would be corrected. He could not forecast a time frame just that it could be anywhere from hours to months. In the meantime, he wanted to perform the laser on the second eye stating there was no downside. I find that hard to accept while I am looking through my right eye which now had very poor vision. He has referred me to a retina specialist in his group to evaluate the condition. In your opinion, how far do I go before I go to another visual health center for a second opinion? On the down side of this issue, finances play a big role. The first surgeon and his group are covered up to a point by my present health insurance plan whereby a new surgeon would not be.

Ans.: Yes, retinal issues can affect your vision and sooner these are dealt with the prognosis is better. Hope the retinal specialist can make this better for you as sometimes it does not require any intervention or surgery which you may be fearing, but is treated with medications.

Qts.: Is there anything that can be done with a weak optic nerve?

Ans.: One needs to know exactly what is wrong with it. If you have not seen a retinal specialist, an opinion from one would be helpful.

Qts.: Already did, she stated that there wasn't anything that she knew that could fix it, but I've been doing research online and found several things that could help. As for what's wrong with both left and right Optic Nerve. There's like whitish/clearish area on them. That could mean liquid or maybe a tear or something on them?

Ans.: Optic Nerve damage is almost always permanent, but what you describe is unclear. So, not knowing the exact medical terminology of what we are looking at, there is very little help I can offer. Please see a retina specialist and get their report if you do not have one, then scan and e mail the same on info@shroffeye.org for an opinion from our retinal specialist Dr Rahul Shroff.

Qts.: I have lost my eye sight in an accident and I had done my treatments, according to doctor I can not get my eye sight back and even they are saying that another eye also can't give my vision back because my veins are damaged. Please tell me that if there is any technology to get my vision back?

Ans.: I am extremely sorry to hear about your situation. However the doctors are right, so far technology has advanced to transplant heart and other major organs, but the eye is a very complicated organ with millions of neural connections to the brain and hence cannot be transplanted with any eye not even 'robotic'.You must do your best to conserve and take care of the vision of the other eye.

Qts.: My mothers' age 70...after corneal ulcer she was operated in right eye for corneal grafting she had mild vision after operation but she has got cataract in eye and then she has lost total vision. Her left eye cornea was become thin after medicine treatment. She has got cataract in left eye. Cataract was removed in left eye but she has not got vision in left eye. Her retina is not perfectly damaged but mild working. Is there any advantage to remove cataract in right eye which is having corneal grafting?

Ans.:There are many reasons why a person with a case history like your mothers needs to be evaluated in detail. Vision can be poor due to various reasons, yes, you are correct in asking if cataract will improve vision. Only the eye doctor who has examined your mothers eye physically can tell the answer as one needs to do a physical slit lamp examination, retinal check before commenting on this which I have no access to.
You can speak to your eye specialist and follow his suggestion. If the corneal ulcer is not in the pupil area, or not very large, then cataract surgery may help see better, but how much better, I cannot say.

Also, the retina needs to be looked into to see that it is fine with no degeneration etc. because in presence of degeneration, any treatment done in front of the retina like a cataract or corneal transplant will not have its full success.

So, it is not easy to answer such a Q on the internet because of many possibilities. The best would be to see a good eye surgeon who will give sound advice.