PEOPLE TREE Hospitals is pleased to offer comprehensive and evidence based EYE CARE at affordable cost catering to all age groups. Our team comprises of doctors and optometrists committed to provide quality eye care in Bangalore. We work with motto of “SARVENDRIYANAM NAYANAM PRADHANAM” and our team has a broad range of expertise in field of ophthalmology and work with multidisciplinary approach in managing common and complex eye disorders. We work as a team with Paediatricians, Neurologists, Internists, Immunologists and Otorhinolaryngologist to optimize EYE CARE for the patient.
We offer the following eye care services at our hospital
Comprehensive eye examination
Vision assessment and refractive error correction.
Gonioscopy to assess the angle structures.
Goldmann Applanation tonometry to check IOP.
Dilated fundus examination.
Glaucoma detection and management
IOP assessment with Pachymetry.
Detailed fundus examination
Optical Coherence Tomography
Diabetic retinopathy detection and management
Dilated fundus examination
Optical Coherence Tomography
Fundus Fluorescein Angiography
Retinal laser for diabetic eye disease and other conditions
Paediatric Eye Care Services
Retinopathy of prematurity Screening and management
Amblyopia ( Lazy Eye ) management.
Squint corrective surgeries.
Orbit and Oculoplasty Services
Entropion and ectropion management
Lid mass excision and Lid reconstruction.
Orbital trauma management.
Refractive surgery services
Small Incision Cataract surgeries
Phaco emulsification with foldable IOL implantation.
Our team is adept at managing various corneal conditions like:
corneal ulcers etc. . (Put this last but one)
Cataract is an opacification of the natural crystalline lens. It leads to blurring of vision, diminished vision, glare and coloured halos.
Cataract is the leading cause of blindness in our country.
Some myths related to cataract
Eye drops can be used to treat cataract
Cataract surgery is dangerous
Cataract is treated by surgery. Gone are the days when we waited for complete maturation of cataract. Now when cataract causes enough disturbance in vision to preclude one's normal daily activities, cataract surgery is advised.
The types of cataract surgery:
Manual Small Incision Cataract Surgery
Microincision cataract surgery (MICS)
An artificial intraocular lens (IOL) will be implanted in all cataract sugeries. Indian lenses as well as imported lenses, multi focal lenses, toric lenses, ect are used as per patients's requirement.
With improved technology and technique cataract surgery can be performed even without injection to the eye. This technique is called "topical anaesthesia"/ injection less surgery" where drops are applied to the eye instaed of injection.
All these facilities are available in People Tree Hospital.
When an individual comes to our hospital for cataract surgery, he or she will undergo a complete cataract surgery workup. Then, he or she will be given an option of the type of surgery and the type of lens to be implanted. All surgeries will be done on a day care basis.
Glaucoma is a condition that causes damage to your eye's optic nerve and gets worse over time. It's often associated with a buildup of pressure inside the eye. Glaucoma tends to be inherited and may not show up until later in life. According to a survey by All India Medical Sciences, one in eight people (above the age of 40) are either at high risk of Glaucoma or affected by it. Shockingly, 50 per cent of people affected by Glaucoma would never know that they are affected by Glaucoma as glaucoma have no early symptoms or pain from this increased pressure, it is important to see your eye doctor regularly so that glaucoma can be diagnosed and treated before longterm visual loss occurs.
WHAT IS GLAUCOMA?
Glaucoma is a disease that damages your eye's optic nerve. It usually happens when fluid accumulates in the front part of your eye. That extra fluid increases the pressure in your eye and damages the optic nerve but blindness from glaucoma can often be prevented with early treatment.
HOW OPTIC FIBRE IS DAMAGED?
Each tiny nerve fibre of the optic nerve is responsible for a certain area of vision. Glaucoma damage causes these tiny nerve fibres to degenerate. The loss of a few nerve fibers is completely unnoticeable. This is why mild glaucoma has no symptoms. As more and more nerve fibers are damaged, subtle changes start to develop with certain areas of the vision becoming less clear. Even this is usually so mild that the average person doesn’t notice any changes in their vision. Small changes like this can be detected with a visual field test that measures glaucoma damage in the peripheral vision. With more damage over time you may start to notice trouble seeing things in dim lighting and a general decrease in the quality of the vision. In late stages of the disease severe visual disability and blindness can occur. Glaucoma damage to the nerve fibers is permanent and irreversible. Once areas in the vision are lost they can never be brought back. That is why treatment and close monitoring are so important.
There are several types of glaucoma. The two main types are openangle and angleclosure. These are marked by an increase of intraocular pressure (IOP) or pressure inside the eye.
OpenAngle Glaucoma :
Openangle glaucoma, the most common form of glaucoma, accounting for at least 90% of all glaucoma cases:
It is caused by the slow clogging of the drainage canals, resulting in increased eye pressure
Has a wide and open angle between the iris and cornea
Develops slowly and is a lifelong condition
Has symptoms and damage that are not noticed
“Openangle” means that the angle where the iris meets the cornea is as wide and open as it should be. Open- angle glaucoma is also called primary or chronic glaucoma. It is the most common type of glaucoma, affecting about three million Americans"
AngleClosure Glaucoma :
Angleclosure glaucoma, a less common form of glaucoma:
Is caused by blocked drainage canals, resulting in a sudden rise in intraocular pressure
Has a closed or narrow angle between the iris and cornea
Develops very quickly
Has symptoms and damage that are usually very noticeable
Demands immediate medical attention
It is also called acute glaucoma or narrowangle glaucoma. Unlike openangle glaucoma, angleclosure glaucoma is a result of the angle between the iris and cornea closing.
NormalTension Glaucoma (NTG) :
Also called lowtension or normalpressure glaucoma. In normaltension glaucoma the optic nerve is damaged even though the eye pressure is not very high.
Congenital Glaucoma :
This type of glaucoma occurs in babies when there is incorrect or incomplete development of the eye's drainage canals during the prenatal period. This is a rare condition that may be inherited. When uncomplicated, microsurgery can often correct the structural defects. Other cases are treated with medication and surgery.
Other Types of Glaucoma :
Variants of openangle and angleclosure glaucoma include:
Irido Corneal Endothelial Syndrome (ICE)
Secondary Glaucoma :
Glaucoma can often be caused by another eye condition or disease. This is known as secondary glaucoma. For example, someone who has a tumor or people undergoing longterm steroid therapy may develop secondary glaucoma. Other causes of secondary glaucoma include:
Inflammation of the eye;
Abnormal blood vessel formation from diabetes or retinal blood vessel blockage
Use of steroidcontaining medications (pills, eyedrops, sprays)
Pigment dispersion, where tiny fragments or granules from the iris (the colored part of the eye) can circulate in the aqueous humor (the fluid within the front portion of the eye) and block the trabecular meshwork, the tiny drain for the eye’s aqueous humor
SYMPTOMS OF GLAUCOMA :
What are the Warning Signs
Unfortunately, most cases of glaucoma do not occur with readily noticable symptoms that warn of the irreversible optic nerve damage being done. However, the presence of the following warning signs, indicates that you need a thorough examination by an eye doctor:
Unusual trouble adjusting to dark rooms
Difficulty focusing on near or distant objects
Squinting or blinking due to unusual sensitivity to light or glare
Change in color of iris
Redrimmed, encrusted or swollen lids
Recurrent pain in or around eyes
Dark spot at the center of viewing
Lines and edges appear distorted or wavy
Excess tearing or "watery eyes"
Dry eyes with itching or burning; and
Seeing spots, ghostlike images
The following may be indications of potentially serious problems that might require emergency medical attention:
Sudden loss of vision in one eye
Sudden hazy or blurred vision
Flashes of light or black spots
Halos or rainbows around light
The symptoms listed above may not necessarily mean that you have glaucoma. However, if you experience one or more of these symptoms, contact your eye doctor for a complete exam.
The treatment for glaucoma depends upon the nature and severity of each case. In general, glaucoma cannot be cured, but it can be controlled. Eye drops, pills, laser procedures, and surgical operations are used to prevent or slow further damage from occurring. With any type of glaucoma, regular eye examinations are very important to detect progression and to prevent vision loss. Because glaucoma can worsen without your being aware of it, your treatment will likely need to be changed over time to achieve a lower "target eye pressure."
Glaucoma is often treated with eye drops taken regularly several times a day, sometimes in combination with pills. These medications will alter the circulation of eye fluid and lower eye pressure, either by decreasing the production of fluid within the eye or by increasing the flow leaving the drainage angle. It is important to tell all of your doctors about the eye medications you are using because glaucoma medications can have sideeffects. You should notify your ophthalmologist immediately if you think you may be experiencing sideeffects.
Sideeffects from some eye drops may include a stinging sensation, red eyes, blurred vision, headaches, or changes in pulse, heartbeat or breathing. Sideeffects from pills may include tingling of fingers and toes, drowsiness, loss of appetite, bowel irregularities, kidney stones, anemia or bleeding disorders.
Laser Surgery :
Laser surgery is also effective for glaucoma treatment.
Trabeculoplasty is laser treatment to enhance the eye drainage function to control eye pressure within the eye when treating openangle glaucoma.
Iridotomy is laser treatment to create tiny holes in the iris to improve the flow of eye fluid to the drain when treating narrow angle glaucoma.
Surgical Treatment :
When surgery is needed to treat glaucoma, your ophthalmologist will use a microscope and specialized instruments to create a new bypass drainage channel for the fluid in the eye to leave the eye. The new channel helps to lower the eye pressure. Surgery will be recommended only if your ophthalmologist feels the benefit of a lower eye pressure achieved with an operation outweighs possible complications and/or further progression of optic nerve damage.
RETINA is innermost layer of the eye and is vital for vision. It is directly connected to the brain via the optic nerve. The most sensitive part of the retina for vision is called the macula. When this is affected, vision is affected.
PEOPLE TREE Hospitals are equiped with state of the art equipment and retina specialists to help diagnose and treat various retinal conditions.
The common conditions that affect the retina are:
Retinopathy Of Prematurity,
Retinal Detachment, ect.
This condition develops in diabetic patients.
It is dependent on-
the duration of diabetes
the level of control of diabetes
coexistent diabetic nephropathy
Symptoms of diabetic retinopathy
blurring of vision
sudden vision loss
Treatment of diabetic retinopathy:
Diabetic retinopathy, in the initial stages does not require any treatment other than sugar control and control of other parameters.
Later stages of diabetic retinopathy requires treatment like laser treatment of retina, intravitreal injections and vitrectomy.
Annual check up of retina is recommended in all diabetics. More frequent follow ups may be required depending on the stage of Diabetic retinopathy.
This condition develops in hypertensive patients.
It can rarely cause sudden blurring or sudden loss of vision.
As a complication, it can lead to blockage of veins or arterioles in the retina – a condition called retinal vein or artery occlusion.
Retinal vein occlusion when diagnosed and treated early can result in good recovery of vision.
Retinal arterial occlusion is an emergency in ophthalmology.
RETINOPATHY OF PREMATURITY
This is a condition that affects premature babies. In this condition abnormal blood vessels grow in the retina and cause retinal detachment.
A. all babies with birth weight less than 1500g ( upto 1700g in India)
B. all babies born with gestational age less than 34-35 weeks.
All babies with either of these criteria need screening with frequent follow up till complete retinal vascularization.
In this condition there is a detachment of the retina from the back of the eye.
Those at risk-
family history of retinal detachment
other eye with retinal detachment
flashes of light
loss of field of vision
loss of vision
Early treatment is the rule which can lead to better visual outcomes.
Treatment options include
laser treatment of the retina
Oculoplasty is the branch of ophthalmology which deals with the aesthetics of the face. Our head and neck team along with the plastic surgery team work in tandem towards this goal. It usually involves surgical procedures for the same.
Surgeries are performed for eyelid deformities like:
Ptosis- drooping of the upper lid is called ptosis
Entropion- inward turning of the lids is called entropion
Ectropion- outward turning of the lids is called ectropion.
Blepherochalasis and baggy eyelids
Facial nerve palsy
These are some conditions that are treated by our specialists.
Conditions of the orbit treated include
Congenital chronic Dacryocystitis- seen at birth.
Chronic Dacryocystitis: This is treated by the conventional DCR- dacryocysto rhinostomy as well as Scarless EndoDCR.
Obital wall fractures in trauma cases
Neuro ophthalmology is the branch of ophthalmology which deals with the connections of the eye to the brain and their abnormalities.
The common symtoms include:
Blurring of vision
Inability to move the eye in a given direction
Loss of field of vision
These symptoms may or may not present along with systemic conditions like diabetes and hypertension. Sometimes they are a clue to brain tumours.
In People Tree Hospital a unique multidisciplinary approach is available to our patients as the neuroophthalmologist, neurologist and the neuro surgeon work as a team.
Our team provides treatment of various inflammatory conditions of eye due to infection, autoimmune conditions working closely with medicine and rheumatology immunology department.
PEOPLE TREE Hospital has an exclusive opticals department for all refractive errors. A variety of contact lenses are available here.
Contact lenses provide you with good vision and they also have an aesthetic appeal. Contact lenses can also be used for functional or optical reasons. One needs to maintain them in a proper way. They need to be regularly cleaned and cleansed of any dirt.
EDUCATION & RESEARCH