How salaried class can contribute to nation building

 Salaried individuals get their payments after tax deductions. They contribute their share of taxes in the most efficient way. They shouldn’t withdraw cash from ATM & make all payments with UPI (online payment) & not make any purchase where online payment is not accepted. Boycott all the traders who insist on cash payments. Mobile based payments can revolutionise the entire system & it also helps to get rid of the problems faced with the currency exchange. It will help to increase tax collection & reduce “tax chori”. This small step can have huge cascading effect to promote organised & transparent economy. It will bring real GDP numbers which will be much higher. Kindly spread the message across & make it viral to get the maximum impact

#salaried class #Nation Building #organised economy #online payments 

Goniotomy surgery for Glaucoma

 It is a surgical removal of trabecular mesh work which is the site of resistance to the flow of aqueous. It can be performed at the time of cataract surgery to reduce / completely eliminate the need to put pressure lowering drops for glaucoma. It is performed with kaboom dual blade or bent needle. It can lead to blood in anterior chamber after surgery & it clears on its own in 3-5 days. It is a very safe procedure which should be done before proceeding with Trabeculectomy with Mitomycin. 

This procedure is performed by Dr Hitesh chheda at all the centres of Asian Eye Institute, Mumbai viz Borivli west, Borivli East, Dadar, Virar, Ulwe- Navi Mumbai & Kutch- Bidada. It has revolutionised the management of glaucoma

LASIK @ ASIAN EYE, Mumbai

 We are performing lasik surgery at ASIAN EYE INSTITUTE, Mumbai since 2008 on Nidek Excimer laser CX lll. We have successfully performed more than 5000 lasik procedures since inception. Dr Hitesh Chheda at ASIAN EYE INSTITUTE has more than 25 years of experience in this operations. 

LASIK can be done for minus, plus & cylindrical numbers. For minus numbers , it is FDA approved upto 12 diopters. For plus numbers, it gives good results upto 5 diopters. For those above the age of 40 , you need to undergo a procedure similar to cataract surgery with progressive lens implantation & you will never get cataract in the future as well. 

During lasik procedure, 100 micron flap of cornea is lifted & than laser is done on the cornea to reshape based on the spectacle number & than flap is reposted back in position. It takes 24 hrs to heal. You need to avoid splashing water in the eye & rubbing the eye for 15 days. You need to put eye drops 3-4 times a day for a month. You can resume your normal routine activities from 3 rd day. 

In customised lasik ( wavefront guided & topo guided- contoura lasik) lot of aberrations in the eye are also treated along with the spectacle power which helps in getting good quality of vision & night vision.

In bladeless lasik, the corneal flap is also created with the help of the laser. It is much safer than conventional lasik. 

Recently we have installed Micron M7 laser from Excelcius at our Borivli west centre above Tirumala which is the latest version with Artificial Intelligence incorporated in it

You need to stop using contact lenses for 2-3 days prior to lasik surgery. Also need to avoid any perfume on the day of surgery as laser energy gets affected with the smell. 

Entire procedure takes 15-20 minutes & you need to wait with eyes closed for another 20 minutes. After that you will be examined by the doctor before giving discharge from the hospital. 

Vision is slightly blurred on the day of the surgery & there can be slight irritation & watering on the first day. Vision clears from second day onwards

In some cases, if corneal thickness is less, we perform PRK- direct removal of epithelium followed by excimer laser. New epithelial healing takes 4-5 days during which bandage contact lenses are applied & usually removed on the 6 th day

Donation for free cataract surgery

We at Asian Eye Institute , Mumbai perform free cataract surgery for the needy. CSR funds are welcome for such activities. Contact on WhatsApp 9820798186

Our institute is also FCRA compliant for foreign donations 

Laser iridotomy for Glaucoma

If you are having headache/ heaviness in morning/ watering eyes, these are symptoms of glaucoma & you will have higher eye pressure during the period of headache but by the time you visit the doctor, pressure will be normal

This is very early stage glaucoma & all the test for glaucoma will be normal as no damage to optic nerve has occurred 

Glaucoma eye drops will relieve you of your symptoms but glaucoma will keep on progressing 

You need to undergo laser iridotomy which will increase the size of aqueous outflow pathway & cure your glaucoma forever. You need to do it at very early stage when eye pressure are normal. Once pressure is high, more than 3/4 th of the angle is already closed & will need to put eye drops for the rest of your life

Regular Eye check up

 During childhood, vision should be checked to detect refractive error at an early stage so that we can prevent amblyopia by wearing corrective glasses.

During the presbyopia age, (around 40 years) , you need to get your eyes checked with doctor & not optician for early detection of glaucoma

If you have diabetes/ hypertension, you need to check every year as it can have effect on the eyes as well

Macular Hole surgery

 It is a delicate surgery of the macula which requires removal of internal limiting membrane of retina( internal sheet of layer on retina) & injection of gas at the end. Patients need to follow prone position for atleast 3-4 days after surgery, moving around only for toilet & eating. Rest of the time maintaining prone position is crucial for the success of the surgery. Those who can’t sleep in prone position, we need to inject silicone oil which needs to be removed after 3-4 months. 

Visual recovery depends on how early surgery was performed after macular hole development- early surgery leads to better outcomes