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Kharghar resident avails best laser treatment for impaired vision at Advanced Eye Hospital

42-year-old Mr George Mathew (patient’s name changed to protect his identity) was seeing black spots in front of his right eye since 3 weeks. This complaint gradually increased over last week, which made his near visual activities like office work and reading more difficult. So, he presented with these eye problems along with strain in his right eye at Advanced Eye Hospital Institute (AEHI) located at Sanpada, Navi Mumbai.

Detailed eye check-up was conducted for him. The visual acuity was 6/18 N18 (haziness) in the right eye and 6/6 N6 (normal) in the left. His intraocular pressure were normal i.e. 12mm Hg and 11mm Hg in right and left eye. 

Based on Mr. Mathew’s eye complaints, he was referred to Dr. Yogesh, Vitreo-retina specialist at AEHI. Dr. Yogesh recommended him to undergo Macular OCT (Scan for central part of Retina) for both his eyes. This examination revealed swelling (pockets of subretinal fluid) at the macula in the right eye while the left eye’s OCT was normal.


normal macular layer                     swelling in macula            

 OCT scan of Left eye – Normal Macular layer             OCT scan of Right eye – Swelling in the Macula   

      

Dr. Yogesh Patil diagnosed George with Central serous chorioretinopathy (CSR). Mr Mathew was explained about condition and causes for same. He was relieved to hear that this condition is non-vision threatening and was asked to follow up after three weeks. 

Central serous chorioretinopathy (CSR):- It is an eye disease characterized by leakage of the retinal fluid that has tendency to accumulate under central macula. Hence, central visual field is affected. This eye condition is said to worsen with stress. In most cases it resolves by itself. However, in some cases it may persist and becomes chronic. Depending on the location of the leaking point, either a focal laser or PDT (Photo Dynamic Therapy) can be done for the resolution. 

Macula is a part, which concerns with central and reading vision, hence the condition, is visually very bothersome.  Patient will present with blurring of central vision with reading difficulty. Condition is frequently associated with Acute stressful condition, lack of sleep and Type A personality. There is also strong association of this disease with Steroidal medication intake in any form like tablet/ointment/inhalation spray.


Fundus photo           fundus examination

FUNDUS EXAMINATION IMAGE OF LEFT EYE                FUNDUS EXAMINATION IMAGE OF RIGHT EYE

 

After three weeks, Mr Mathew’s visual acuity showed stability but the swelling was not reduced. So this time he asked to undergo a test called FFA (Fluorescein Angiography) for detection of source of swelling in Retina. When FFA test was done (refer below give picture of Mathew, it showed leakage (smoke stack shaped) at macula in his right eye. 

 

              

                   Swelling at 50 seconds                                    Swelling at 2:29 minutes                              Swelling at 4:41 minutes  

Dr. Yogesh recommended him to undergo focal laser since the leaking point was away from the fovea. He then asked George to  follow up after 15 days. 

MACULA OCT OF RIGHT EYE AFTER OPERATION

 

And after a fortnight of laser treatment, Mr Mathew was glad as he experienced significant improvement in his symptoms. His uncorrected vision improved to 6/9 and after 1 month it further improved to 6/6. Mr Mathew thanked Dr. Yogesh Patil and the staff of AEHI for the best treatment and overall eye care services provided.

About Dr. Yogesh Patil:

Dr. Yogesh Patil (MBBS, MS (Ophth), Fellow Vitreo-Retinal Surgery) is a Vitreo- Retinal Surgeon at Advanced Eye Hospital and Institute. He has achieved remarkable competence in the treatment of various diseases involving the retina, vitreous and macula as well as extensive training in the skills of various Vitreo-retinal surgeries.

About Advanced Eye Hospital and Institute:

Advanced Eye Hospital and Institute in Navi Mumbai is one of the best eye hospitals in Mumbai.  Comprehensive eye check-up and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalised care, infection free modular operation theatres and beautiful ambience compliment the cutting-edge eye care offered at AEHI. Besides treating patients from Kharghar, Nerul, Vashi and Panvel, patients from all over western India travel to AEHI for world class eye care management.