NETRA JYOTI KENDRA AGRA eye hospital is a reputed, state of the art hospital located in heart of city approachable to any person in the city of AGRA. The hospital has all possible equipments in eye care under one roof from OCT, Retinal Angiography(FFA), Retinal Green laser , lasik laser machine, best Phacoemulsification micro-incision cataract surgery .
Diabetes Retinopathy Eduaction and Diagnosis :
Diabetic retinopathy is a major cause of avoidable blindness or visual impairment in society. One must be wondering how a person can get blind when such advanced technology and doctors are available in today’s era. What we need to understand is sometimes the disease doesn’t give us enough indications and time to treat it and hence we need to attack the disease proactively before it damages our eyes.
What happens in diabetic retinopathy is that patient doesn’t realize any symptoms or signs until advanced stage of proliferative diabetic retinopathy is reached. At this stage there can be severe bleeding and ‘pull’ on the delicate retina(traction) causing permanent irreversible damage to the vision. To cut short diabetic retinopathy can permanently damage your vision without any warning signs. This can only be prevented if a proficient doctor meticulously checks the retina of patient and diagnose the retinopathy in early stage. Along with the treatment of diabetic retinopathy, good systemic control of blood sugar levels, HTN , cholesterol, CRP is very important, since this is root cause of diabetic retinopathy, which is also ensured at NJK Agra Charitable eye clinic.
Keeping in mind above things, the clinic will also educate the patient about frequency of retinal check ups required depending upon duration of diabetes mellitus or stage of retinopathy incase in casr of DR, the symptoms patients is required to be aware of etc.
If the patient has diabetic retinopathy , educating the patient about the stage of disease, role of treatment like Antivegf intravitreal injections , retinal green laser therapy, motivating to take care of DM will be done here. In addition , guidance about systematic blood sugar level monitoring , counselling about customized diabetic diet, stress management (stress is the most common and ignored cause of fluctuating sugar levels), will also be provided to the patient.
Cataract Evaluation and Guidance :
Diabetic Cataract Management
In case an eye surgery is required then patient goes through detailed counselling where the patient is educated about the surgery, pre and post operative eye care, and all the small and big queries are answered to the patients satisfaction.Specific intraocular lenses are advised to diabetic patients depending on various factors.(multifocal IOL are avoided with DR , hydrophilic IOL are also best avoided in any diabetic patients)
Pre - operative consideration for diabetic Patients
We also have a diabetes (blood sugar) control team in the same premises which ensures blood sugar control of patients prior to surgery only through diet and lifestyle planning. On the day of surgery patient is asked to come fasting and a diabetic breakfast is served at our hospital to avoid any sugar hike on the day of surgery.
Intra - operative consideration for diabetic Patients
Netra Jyoti Kendra eye hospital is equipped with state of the art modular operation theatre with HEPA filter, maintaining highest standards of sterile precautions. Sterile precautions during surgery in any diabetic patients becomes very important as these patients are more prone to infections. Infection rate is also controlled through micro incision cataract surgery at Netra Jyoti Kendra eye hospital.
Treatment of Diabetic Retinopathy
Coming to the treatment of diabetic retinopathy I believe a holistic approach is necessary where the root cause of problem is tackled sincerely.; which is mainly long term uncontrolled sugar levels in the past, high blood pressure, anemia, raised CRP is also catered along with eye problem. The treatment of diabetic retinopathy is in the form of intravitreal anti vegf or ozurdex injections to reduce the retinal swelling in diabetic macular edema and Retinal green laser to prevent complications like bleeding within the eye (vitreous hemorrhage) or tractional retina detachment.
In addition to this, strict monitoring of other systemic problem like raised blood pressure, anemia (low hemoglobin), hypercholesterolemia, raised C reactive protein, glycosylated hemoglobin(HbA1c) is done.
The aim of SDEC is to cater to all the above issues through a dedicated team under the guidance of Dr. PRADEEP SANE
