Jaan Hain to Jahan Hai : Divyadrishti.

 

In Association With.

Business Heads. 

Pratham Media. 

M. S. Media.  

A & M. Media. 

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Jaan Hain to Jahan Hai. Divyadristi. Volume1.

Cases. Study. Awareness. Consultancy. Legal.

Write up over Health & Hygiene. Eye.

Page 1.

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Dedicated to my uncle late Dr.C. D. Sahay

B.Sc.,M.B.B.S,M.S.(Eye),D.O.(Dublin) Eye& E. N. T. Specialist.

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Consult me for consulting Doctors for Suggestions only.

Business Head : Ranjeet Gupta.Patna.

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Legal Umbrella.

Sarsij Naynam ( Advocate. High Court New Delhi)

Rajnish Kumar ( Advocate. High Court ) Patna.

Ravi Raman ( Advocate)

Dinesh Kumar ( Advocate)

Sushil Kumar  ( Advocate)

Seema Kumari ( Advocate)

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Disclaimer / Note 

Doctor's Suggestions only. My, experiences and writings are sheer based on only my cases studies and the suggestions, consultancy by the doctors only. Readers are sternly advised to keep themselves in touch with their Doctors for their own problems.

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Page Making & Design. Pratham / A& M Media.

MAS Computer Graphics.New Delhi.

Page Making & Design : Er. Ram Shankar. Er.Snigdha. Er.Siddhant. Bangalore.

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Patron.

Chiranjeev Nath Sinha. A.D.S.P Lucknow.

Ashok Karan. Ex Photographer. Hindustan Times.   

D.S.P. ( Retd.) Raj Kumar Karan.

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Editors' World

Dr. Pawan Kumar : M.B.B.S.( D.M.C.H). D.O ( EYE ) Ranchi. 

Dr. Satya Prakash Tiwari.  Sr. Consultant Vitreo - Retina & ROP. Patna. 

Dr. Raj Kishore Prasad  : Sr. Consultant Orthopaedician. 

Dr. Mayank Kumar :  M.S.(Surg.), MCh ( Nuro Surgery). 

Dr. Prashant : M.B.B.S. Health Officer, Government of Gujarat. 

Dr. Anita Singh : M.B.B.S. Medical Officer. Barodara. Government of Gujarat.

Dr. Suniti Sinha : M.B.B.S. M.S.( OBS Gyn.).

Dr. Archana : Apolo Hospital. Kolkota. call. CF

Dr. Rashi :  M.S.,DNB, MRCOG, London. OBST.& GYE. call by 1 p.m to 3 p.m.

Dr. Ratnika : M.B.B.S, M.D. Derma (std).call

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Visitors of the Page. 

Kumar Saurabh. Reporter. Etv Bharat. 

Dr. Devendra.MS.Eye

Dr. Arvind. Nalanda Netraaylaya 

Dr. Ajay Kumar. Jahanavi Eye Care and Research Center 

Dr Sujeet Kumar. M.B.B.S . DOMS. Eye Specialist.

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Writers World.

Dr. Pawan Kumar : M.B.B.S.( D.M.C.H). D.O ( EYE ) Ranchi.

Dr. Madhup Raman : Ph. D ( writing for health issue)

Dr. Prashant : M.B.B.S. Gujrat Health Officer.

Dr. Awdesh  Kumar : M.B.B.S. MD

Dr. Himanshu Verma : M.B.B.S.

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Observer of the Page.

Dr. Arvind. Nalanda  Netraaylaya 

Dr. Ajay Kumar. Jahanavi Eye Care and Research Center 

Dr Sujeet Kumar. M.B.BS . DOMS. Eye Specialist.

Dr. Pawan Kumar : M.B.B.S.( D.M.C.H). D.O ( EYE ) Ranchi. 

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Visitors of this Blog.

Dr. Shyam Narayan. MD Physician

Dr. Sangeeta Verma. M.B.B.S, D.G.O.M.S. Civil Assistant Surgeon.

Sadar Hospital. Biharsharif.

Dr. Faizal. M.B.B.S. Health Officer.

Dr. Shyam Bihari :  Child Specialist.

Dr. Sujeet Kumar : MD ( Medicine)

Dr. Rajeev Ranjan Kumar : MD ( Medicine).Ex.SR ( Cardio).call 10 a.m. to 7p.m. CF 500 

Dr. Sujeet Kumar : M.S. ( Surgery)

Dr. Vishwnath Kumar  : B.D.S.,M.I.D.A.(Pune) (Oral & Dental Surgeon.) call.4 p.m to 5p.m CF 250

Dr. Touhid Kazmi : B.D.S.(Pat). Ex Lecturer BIDS Patna. Call 1.30 to 2.30.. C F 200/-

Dr.  Achala. Cosmatic Cosultant .

Dr. K. Renu :  Consultant Ultrasonologist.

Dr. Manoj Srivastava : B.H.M.S.(Homeopath)

K.M. Ranjan : Physiotherapist. Thyro Care Service Provider.

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Supporting 

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Jaan Hain to Jahan Hai. Page 2 Divyadrishti.

a write up of the day.

Supported by.

contact us for your satisfactions.

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Page 2/1.Article Lasik Surgery : Today's Need, fashion of the youths

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Lasik commonly referred to as laser eye surgery or laser correction is a type of refractive surgery for the correction of myopia ( nearsightedness) , hyperopia ( farsightedness), and astigmatism ( कोर्निया की आकृति में गड़वड़ी ).

Dr.Madhup.

Age : However youths under the age of 18 are not recommended for Lasik because their vision has not had a chance to stabilize. But since 19 to 40 ,anyone within this range is a great candidate. 

There should not be any problem of Cataracts. Cataract remains clouding of the normally clear lens of the eye. Most cataract develops slowly over the course of the year. 

Before that having  a talk with a Bihar fame Eye Specialist doctor Dr.Subhas Prasad. MD Divyadrishti , Patna I come to know that before Lasik surgery the power of eyes should be examined regularly and should be stable for a year.

Proper Testing : These are other proper tastings are necessary before the patient goes for Lasic Surgery

a. Dry Eye Testing 

b. Contrast Sensitivity Testing.

c. Pupil Testing

d. Pachmetry

e. Keratometry.

f.  Coroneal Topography.

g. Wave front analysis.  

And thickness of Cornia is an another matter.

Other tests and examinations are too important before the lasik surgery. 

Lasic Barrage : The laser barrage is an Argon Laser treatment done to strengthen the part of the retina which may show areas. After this laser treatment, in about a week's time ,it is usually safe to undergo Lasik.

Macular Hole.

Macular Hole : a macular hole within the eye's retina occurs when the nerve cells of the macula become separated from each other and pull away from the back surface of the eye ,effecting vision. A macular hole can be successfully treated.

Compound Myopic Astigmatism : when there is myopia in all meridians, of a different amount.  

Retinal holes : are caused by traction on the retina by the vitrous

What happens after barrage laser : Complications of laser barrage include transient effects ( blurred vision, raised intraocular pressure and headache permanent effects poor night vision ,poor colour vision and peripheral field defect)

Dr. Satyaprakash.

But in a telephonic talk with Dr. Satya Prakash Tiwari. MBBS ( Gold Medalist), MS Fellow - Vetreo- Ratina ,MD Drishti Punj , Patna suggests us that this may happen in diabetic patient, and where the complications are more but it is quite safe in others. Lesar Barrage should be based on high technology based machine. 

Tropico Eye Drop : is used before eye examinations and to treat an eye condition called uveitis. It acts by enlarging the pupil of the eyes and helps doctor visualize the eye more closely. It reduces the redness and swelling in the eyes after cataract surgery.

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. Divyadrishti. Case Studies. Jaan Hain to Jahan Hai.Page 3

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Jaan Hai To Jahan Hai 

Section : Eye Care.3.0

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Case Study E/V/R 1

Patient  : Raman. Age 23. Needs to go for Lasic 

Dr. Subhas.

Doctor   :   Dr. Subhas Prasad.

Date : 11.10.21.After examine

Diagnosis : Compound Myopic Astigmatism

Holes are found in the both eyes ratina.

Suggestion : Laser Barrage.

Overview of Doctors. 

Dr. Devendra : an Eye Specialist  strongly suggests this 

Dr. Pawan : consult Consultant Vitreo Retina. It ( Laser Barrage ) should be done without delay. No major issue 

Eye History. Dr. C.D.Sahay.  25.10.10   RE  SPH -3.0. CYL 0

 AXIS 0.         V/A 

LE   SPH -3.0.      CYL 0         AXIS 0.          V/A.

Dr.Sujeet Kr. 06.05.16  RE SPH -6.0  CYL 0          AXIS 0.         V/A. 6/9

LE   SPH -6.0       CYL 0         AXIS 0.          V/A. 6/9

Dr.Subhas Pd. 10.10.21 RE  SPH -7.0   CYL 0.50     AXIS 175.     V/A. 6/6

 LE   SPH -7.0       CYL 1.0       AXIS 175.     V/A. 6/6

Precautions : are must.

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Jaan Hai To Jahan Hai 

Section : Eye Care.3.1

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Case Study E/T/R 2

Dr. Ajay.

Patient  : Dr. Madhup Raman.

Doctor   :   Dr. Ajay Kumar.

25.9.18. 1st Visit.

Problems : Irritation. Work on Mobile and Computer.

Dry. Discomfort & Redness occured in left eye. 

a. Lubistar ( Caboxymethylcelluose )

Dose : 1 drop 3 times in both eyes.

b. Emfodex ( Moxifloxacin & Dexamethasone ) 

Dose : 1 drop 4 times in red eyes.

17.9.19. 2nd Visit after one year. 

Problems Irritation. Dry. Discomfort & Redness in left eye.

a. Chlor - D ( Polymyxin B Sulphate Chloramphenical & Dexaethasone Sodiium Phosphate Ophthalmic Solution)

Dose : 1 drop 6 times continues for 6 days.

Dose : 1 drop 4 times  continues for 10 days.

11.6.20. 3rd Visit .On Line Suggestion.

Problems Irritation. Dry. Discomfort & Redness in left eye.

a. Chlor - D ( Polymyxin B Sulphate Chloramphenical & Dexaethasone Sodiium Phosphate Ophthalmic Solution)

Dose : 1 drop 4 times continues for 10 days.

b. Carboxy Methylcellulose Sodium Eye Drops.

30.8.21. 4th Visit Problems Irritation. Dry. Discomfort & Redness in left eye.

left eye

a. Chlor - D ( Polymyxin B Sulphate Chloramphenical & Dexaethasone Sodiium Phosphate Ophthalmic Solution)

Dose : 1 drop 4 times continues for 10 days.

1 drop 2 times continues for 10 days.

b. Lacrisol. लाक्रिसोल   (  Hydroypropyl Methylcelluose, Glycerin Dextran )

Dose  : In Both eyes.

Review : Comfort .Good ,Effective.

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Jaan Hai To Jahan Hai 

Section : Eye Test Care.3.2

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Case Study E/T/R 3

Dr. Ajay.

Eye Care. Common Routine Test for power. 

Patient : Dr. Madhup Raman.

Doctor :  Dr. Ajay. Kumar

Suggested Medicines.

Lubimoist Eye Drop ( Sodium Hyaluronate Drop) 

Safety : It is a lubricant used in the treatment of dry eyes that moistens the eyes and relief from discomfort  and temporary burning.

Review : Much Relief. Effective.

Suggested  Eye Drops.

Lacrim Eye Drop ( Carboxy Methylcelluose Sodium Eye Drops )

Suggested Spaces : Type of Glass Kryptok Bifocal

White.CR 39, White Antiglare coating. Anti reflecting coated.

Supporting.

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Page 5.Questions / Awareness

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Q.1. Which Lasik operation is deemed suited for a 24 year plus patient with having minus 7.5 power in each eye while for the previous year it was minus 6.5. - a patient from Indore.

Answer : There are two types of operation 

a. Femto Blade Free Lasik .Charging 40000 to 45000 / rs

b. Femto with Contura. Charging 45000 to 50000 / rs.

Suggestion 1. Dr. Satya Prakash Tiwari, an experienced eye Doctor, of Drishti Eye Punj, Patna 

courtesy. photo.

suggests us for the better accuracy Femto with Contura is better.

Suggestion 2. Dr. Ajay Kumar, Jahnaavi Eye Care Center say if Astigmatism a defect in the eye or in a lens caused by a deviation from spherical curvature ,which results in distorted images, appears in the patient's eyes then  b. Femto with Contura.is suitable.

Astigmatism occurs when either the front surface of the eye ( Cornea ) or the lens inside the eye has mismatched curves. 

Q.2. What is the Blue Ray Cut ?

Answer : By restricting the blue light from entering into the eyes, it helps reduce the symptons of eyestrain ( dry and sticky eyes ) resulting from screens of digital devices. Also ,lenses with blue cut   coating offer a comfortable vision any improve visual performance in low color contrast.