vishnu
EYE HOSPITAL
Dr.Milan Panchal
M.B.B.S; D.O.M.S
(Phaco and lasik surgeon)
services include
Complete eye examinations
surgical procedures such as cataract surgery, glaucoma treatment, and refractive eye surgery etc.
Optometry services include vision testing, eyeglass and contact lens prescriptions
preventative eye care like diabetic ,hypertensive retinopathy screening
Featured services
comprehensive eye care services
premium iol implantation like multi foacal ,trifocal,toric ,advanced mono focal iol and ICL.
Education
Secured first class in MBBS, Shri M.P. Shah Govt. Medical College, Jamnagar, Gujarat (2008-2014)
Pass out Diploma in MS Ophthalmology, PDU Govt. Medical College, Rajkot, Gujarat (2015- 2017)
short term phaco fellowship at lions club hospital,ognaj,ahmedabad
short term fellowship for Lasik [refractive surgery] at new vision centre,mumbai under DR.RUPALSHAH
Surgical experience
Ex senior consultant ophthalmologist and head of department at NARAYAN EYE HOSPITAL AND RESEARCH
CENTRE, BHARUCH [Run by narayan charitable trust] .i had operated more than 6000 cataract surgery with topical phacoi had very good command on sics cataract surgery.i had special interest in glaucoma field doing approx 100 AGS till date.i had operated approx 1000 pterygium surgery with conjunctival autograft no glue no stitch technique
i had operated various case of ocular trauma,chemical burns of eye
Community Service:
Member of Junior Doctors Association of M.P. Shah Medical College, Jamnagar, Gujarat
Member of Blood Donor Association of M.P. Shah Medical College, Jamnagar, Gujarat
Member of Event Organizing Committee of M.P. Shah Medical College, Jamnagar, Gujarat
Member of eye donation awareness campaigns of eye bank, P. D. U Govt Hospital, ophthalmology, rajkot
life time member of indian medical association
life time member of all india ophthalmology society
life time member of delhi ophthalmology society
life time member of baroda ophthalmology society
Highlights of Qualifications
very well surgical experience for cataract surgery including phaco[topical] and sics
well knowledge of imported premium lens cataract surgery including multifocal, trifocal and EDOF lens
very well surgical experience for glaucoma surgery
thorough knowledge of various retinal disease
very well experience of management of industrial eye chemical injury
Thorough knowledge of medical staff organization
Thorough knowledge of clinical medicine and the procedures and techniques
Ability to ensure medical record is updated
Ability to work closely with allied health professions
Ability to provide effective interdisciplinary health care services
Excellent leadership and interpersonal skills
Managed new patients and scrutinized previous records.
Formulated history sheet and administered respective consultant and nursing staff.
Maintained ward module and carried out rounds with respective consultants.
Monitored investigations and traced their results.
Outlined treatment sheets and managed patient complaints.
Detailed information on each treatment option offered Surgical Cataract Treatment
Phacoemulsification (phaco) is the most common type of cataract removal procedure performed today. An ultrasonic device vibrating at a very high speed is inserted into the eye through a very tiny incision.This device emits ultrasound waves to soften and break up the lens carefully, allowing it to be removed by suction.
The surgeon then inserts an artificial lens into the eye. Depending on the type of incision used, only one stitch (or none at all) may be required to close the wound. This cataract treatment is also called "small incision cataract surgery."
This procedure is similar to phacoemulsification but a much larger incision is made so that the nucleus, or the center part of the lens, is removed in one piece. (The back half of its outer covering is left in place.) Because the incision is larger, several stitches or sutures are required to close the wound. This is less commonly performed today because of possible complications, slower healing and induced astigmatism.
During this rare procedure, the entire lens and its capsule are removed through a large incision. Surgeons may reserve this method for extremely advanced cataract formation or trauma.
in this procedure surgeon remove excessive conjuctival tissue from your cornea and replace with it
conjuctival autograft / amniotic membrane graft with or withuot glue according to size of tissue loss.
1.what is cataract?
ans: cataract is clouding of your natural lens which causes dimness in vision
2.at what age cataract develope?
ans: generally it will develope after age of 50 yrs
3. what is treatment for cataract?
ans: phacosurgery is best choice of treatment
4. is there any medicine to prevent cataract?
ans : no
5. which type of lens use in cataract surgery?
ans: it depends on patient choice and financial status but mostly we use hydrophobic lens
6. is cataract surgery painful?
ans: no.generally we do it under topical or local anasthesia which is painless procedure
7. which type of lens best for night driving?
ans: monofocal / edof lens best as they give good contrast.
8. what are complication if cataract not treated?
ans: it causes glaucoma ,corneal decompansation
9. how much time cataract surgery take?
ans: it takes 1 to 2 hours for total procedure.
10. is there any requirment of glasses after cataract surgery?
ans: if we choose monofocal lens then we required glasses for near and distance depend on post operative residual astigmatism. If we choose multifocal/tifocal/edof lens we reduce dependency of glasses.
11. what is reason for dimness of vision after cataract surgery?
ans: there are most common reason for dimness of vision after cataract surgery is opacity behind intra ocular lens, retinal problems , glaucoma, optic nerve atrophy
12. how many days after we can drive?
ans. usually after cataract surgery you can drive after one week.
13. is there cataract grow after cataract surgery?
ans : no
14.Is cataract surgery high risk?
ans : In the vast majority of cases the operation is successful and vision improves immediately. In a small number of cases complications occur but these are all uncommon and can usually be treated.
15 can we rub and wash our eye after cataract surgery?
ans: yes. You can rub and wash your eye after one month of cataract surgery.
16.what are benefits of cataract surgery?
ans:
Clarity of vision – A cataract forms when the protein in your eye accumulates on the lens. These deposits cloud the lens and cause foggy and blurry vision. Cataract surgery fixes this, replacing the old lens with a new artificial one. The new lens provides clearer, crisper vision.
Colour – Cataracts can cause the lens in your eye to become yellow or brownish. This can cause everything to look faded. Cataract surgery can help fix this, with many patients reporting seeing much brighter colours than before.
The benefits of early cataract surgery
NICE guidance states that any symptom generated by a cataract is sufficient for cataract surgery. Your surgeon will listen to your symptoms and discuss the risks and benefits of cataract surgery with you. One of the benefits of private cataract surgery is the reduced waiting list.
If the surgery is delayed the cataracts harden and the surgery can become more difficult.
1. what is pterygium
A pterygium is a condition that involves the growth of tissue over the eye.
2.can pterygium cause blindness?
Not necessarily. Pterygiums are typically minor disturbances, and they can appear without any associated symptoms. In the most severe cases, a pterygium will cause blurred or impaired vision and will need to be surgically removed from the patient’s eye. This can cause scarring on your cornea, but this is extremely rare.
If you experience symptoms such as scarring, redness, irritation, grittiness, or an aggressive growth, consult with your Eye specialist immediately.
3.how do we get rid of pterygium?
A pterygium can be treated in a number of ways depending on its severity. Patients who experience milder symptoms such as redness, itchiness, or swelling may be treated with over-the-counter ointments or drops, eyedrops for redness and irritation, or prescription-grade eyedrops with steroidal components. In severe cases, the pterygium may need to be surgically removed.
Surgical procedures are performed on an outpatient basis and typically take between 30 and 45 minutes to complete. Afterward, patients will wear an eye patch for one to two days and will be allowed to return to normal activities within a few days.
If you think you may need your pterygium removed, contact us to schedule a consultation.
4.will pterygium go away its own way?
A pterygium will not go away on its own. The only way to remove a pterygium completely is through surgery. However, Visionary Eye Doctors provides comprehensive treatment plans to patients wanting to avoid surgery for their conditions. Depending on the severity of your condition, we’ll develop a treatment plan for you that is the least invasive, most stress-free option available.
5.is pterygium painful?
Pterygium surgery typically causes little to no pain. We use local and topical anesthesia via eyedrops and also prescribe an oral medication to help you relax prior to the surgery. You may feel a bit of dryness and feel a foreign body sensation, which will improve over the first few days.
6.is pterygium cancerous?
While a pterygium can appear quite scary, its presence is not an indication of cancer.
7.how long it take time to heal?
The only way to remove a pterygium fully is through surgery. Recovery time varies depending on the severity of the case; however, most patients are advised to monitor progress for at least 12 months following their procedure. For patients not opting for surgery, treatment is advised as long as symptoms persist and disrupt the flow of daily activities.
1: What is glaucoma?
A: Glaucoma is a progressive ocular disease that causes permanent vision loss, as a result of damage to the optic nerve that carries visual signals between the eye and brain.
2: How common is glaucoma?
A: Glaucoma affects more than 70 million people, worldwide.
Glaucoma is a leading cause of irreversible blindness, and accounts for 12.3% of global blindness.
Glaucoma affects up to 5% of adults ages 70 and above, and increases to over 9% for those 80 and older.
3: Why is glaucoma called ‘The Silent Thief of Sight’?
A: Glaucoma has been nicknamed the silent thief of sight because it often causes permanent vision loss before the disease is even detected. In its early stages, glaucoma does not typically present with any symptoms that would send you to your eye doctor with complaints of vision changes. Therefore, by the time you see your eye doctor, a large amount of vision loss has already occurred.
4: How does glaucoma cause vision loss?
A: Glaucoma is caused by high levels of pressure within the eye. This intraocular pressure (IOP) presses on the optic nerve, causing damage, and eventually leading to permanent vision loss.
5: Will glaucoma affect all of my vision?
A: Peripheral vision is affected first, and if not effectively controlled at this point, can result in tunnel vision. As the disease progresses, central vision is affected next, leaving the person with partial, or complete permanent vision loss.
7: What is ‘tunnel vision’?
A: If glaucoma is not effectively controlled at an early stage, the disease can cause severe peripheral vision loss— resulting in a condition called ‘tunnel vision’. Tunnel vision blocks your ‘side vision’, and limits your field of vision to strictly seeing images in your central vision, or straight ahead.
8: How is glaucoma diagnosed?
A: there are following diagnostic tools
1. tonometry
2. perimetry test( visual field test )
3. optical coherence tomography (OCT) scan
4. Optic disc examination
5. Examination of anterior angle (gonioscopy)
9: How is glaucoma treated?
A: Unfortunately, a cure for glaucoma and the ability to reverse it’s damage to the eye has yet to be discovered. However, there are treatments available to help stop, or at least reduce the progression of the disease by lowering or controlling IOP with antiglaucoma medication ,laser iridotomy, surgical iridotomy and minimally invasive glaucoma surgery (MIGS).
10: Can I prevent glaucoma?
A: While glaucoma cannot be prevented completely, the most reliable way to prevent vision loss from glaucoma is by visiting your eye doctor for regular eye exams. Early detection of the disease can help to preserve your vision, and reduce vision loss.
There are also lifestyle changes you can make to reduce your risk of high eye pressure that leads to glaucoma:
Eat a healthy diet
Exercise
Watch your caffeine intake
Wear protective eyewear
Avoid prolonged use of steroids
Control blood pressure
Maintain good oral health
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