Service & Facility - DARSHAN EYE CARE

Services

Why eye examination?

The eye examination helps us to detect the conditions like glaucoma, hidden hyperopic correction, intermittent squint, Colour deficiency, retinal weakness (degenerations), muscle weakness (accommodative eye muscle problems), which are rarely noticed by people on their own, apart from usual spectacle corrections and treatment for other diseases of the eye.

What does the optometrist do?

The optometrist does the following procedures before the doctors see you.

history- information about the problems of eyes , general health and the medications that are being used
to check the glass power is appropriate
to check for any eye muscle problems associated with focusing difficulty, head ache, eye strain, double vision, glare and distortions
to check eye pressure

These have been done as a routine and the eyes will be dilated with eye drops for the doctor to see.

What is an eye examination?

A complete eye exam starts with a detailed history of eye and general health problems, problems in other family members, and current medication history. The power of the spectacles being used is then checked and visual acuity is recorded with the correction being used – glasses or contact lenses. If the vision is found to be less than optimal refraction is performed and recorded to provide the optimal correction. The movements of the eye and the papillary reactions are then tested. A slit-lamp examination is performed to allow a study of the structures of the eye under adequate illumination and magnification, after which the intraocular pressure is measured. The pupils are then dilated to examine the retina and optic nerve in detail. All of these can be performed quickly and effectively by a well trained optometrist.

How long does an eye examination take?

This examination routine usually takes 10 to 15 minutes and dilatation of the pupils another 30 minutes. After dilatation, the ophthalmologist will complete the retinal evaluation and discuss the findings with you. The cause of problems if any and the requisite treatment measures are then discussed. The entire process should take an hour from start to finish.

When is an eye examination required?

Obviously, any change in vision or ocular comfort warrants an immediate eye exam, as does an injury to the eye. Other indications for an eye exam are abnormal head postures or squinting eyes in children, or a tendency to hold objects very close to the eyes. Even in asymptomatic children, a routine screening evaluation at the time of schooling can help detect conditions like a ‘lazy’ eye, small degrees of squint, color deficiency, and loss of 3-dimensional perception. In adults, a routine evaluation at the age of 40 years, allows the detection and correction of presbyopia, and monitors the intraocular pressure to ensure that glaucoma does not exist. Periodic eye exams after the age of 50 years at yearly intervals, or when systemic conditions like hypertension or diabetes are detected are necessary.

Are specialized tests done routinely during an eye exam?

Apart from the routine procedures described above, if problems are detected, then your ophthalmologist may decide to order special investigations and procedures, after discussing their need with you. These could include investigational procedures like visual field examination and photography of the optic nerve for glaucoma, corneal topography and pachymetry to determine your suitability for LASIK, ocular ultrasonography for evaluating the posterior segment of the eye, fundus fluorescein angiography for retinal disease, keratometry and eyeball length measurement for determining the power of the intraocular lens required during cataract surgery, or laser procedures using the Nd:YAG or Argon lasers for other eye problems.

Do these specialized tests and procedures require another visit or travel to another facility?

No. All of these can be performed during the primary visit, and can be done at Darshan Eye Care itself – as the center is fully equipped for total vision care.

Problems in the eye or brain can affect vision. It is accepted that all children should have a screening exam. Adults above 45 years must also have a yearly check. An eye exam is one of the best ways to protect your vision because it can detect eye problems at their earliest stage — when they’re most treatable. Regular eye exams give your eye doctor at Darshan Eye Clinic a chance to help you correct or adapt to vision changes. Your eye care specialists can also give you expert tips on reducing eyestrain and caring for your eyes.

What is a comprehensive eye examination? Read more…

LOW VISION CLINIC

Definition: LOW VISION IS NOT NO VISION!” The definition of legal blindness is a visual acuity of 20/200 in the best eye with best correction or a visual field of 20 degrees or less.

What is Low Vision?

Low vision is a visual impairment severe enough to interfere with performance of daily activities, yet allowing some usable vision.

What Causes Low Vision?

There are many different conditions that can cause low vision, including:

Macular Degeneration
Diabetic Retinopathy
Cataracts
Glaucoma

People with low vision may have difficulty with daily living activities such as:

Dressing
Cooking
Use of dials on the microwave, telephone
Reading
Writing

Therapy can help you regain and maintain independence in your life. What to Expect
To assess your visual impairments
Train you in the use of adaptive equipment
Educate you about techniques that compensate for low vision
Help you to return to functional and independent living

Orthoptics Clinic
Orthoptics, meaning “straight eyes,” is one of the medical sciences specializing in eye care. Orthoptics is the study of the development of vision, depth perception and the ability to use the eyes together, eye alignment, eye movements, and eye coordination. The orthoptist’s particular area of expertise is the evaluation and management of children and adults with “crossed” eyes, “lazy” eye, double vision, and other eye coordination problems.Orthoptic evaluation involves the measurement of the muscle action according to the age requirements, including any deviation of the eye

TERMS USED
Stereopsis The ability to perceive the depth perception
Accommodation The ability of the eye to focus for distance and near by stimulation and relaxation of the muscles.
Amplitude The reading materials kept at normal working conditions converted into power (Diopter)
Convergence The ability of the eye to work or focus by converging (moving the eye ball inwards)
Orthoptics involves the measurement of accommodation, amplitude and convergence.
Facilities at Darshan Eye Clinic for an Orthoptic Evaluation:
The optometrist at Darshan is equipped with all equipments needed for a complete orthoptic eye exam
TITMUS FLY CHART or measuring Stereopsis
ISHIHARA CHART for colour vision testing
Flippers for measuring accommodation and vergence functions
Maddox rod and Worth four dot for the measurement of double vision (diplopia)
Prism bar for measurement of squinting of the eye and convergence
Orthoptek for giving exercise to lazy eye.

Computer Vision Syndrome

Most people who work constantly with computers tend to have some or all of the following symptoms – eyestrain, eye fatigue, dry eyes, light sensitivity, blurred vision, loss of focus, double vision, headaches, and neck and shoulder pains. It is a combination of eye related symptoms like eye strain eye fatigue, dry eyes, light sensitivity, blurred vision, focusing difficulty, double vision, head aches, neck and shoulder pain .This symptom complex has been termed the computer vision syndrome (CVS).

Symptoms and Recommendations:
1. Blurred vision on seeing the computer – if there is any refractive correction please wear the glasses regularly
2. Eye strain at the end of the day – please give adequate breaks every 20 min and try to look at 20 feet for about 20 secs
3. Dry eyes – it may be due to inadequate blinking. Try to blink at least 15 times in a minute and apply artificial tears as per the doctor’s instruction
4. Double vision – The problem may be due to the poor fusing mechanism or reduced focusing ability of the eye muscles. Please consult the doctor to see if the following exercises are required
a) Pencil push up
b) Accommodative rock
c) Cat card
d) Accommodative flippers
5. Postural pain – please follow the recommended ergonomics to avoid the problems

Ergonomics:
1. the monitor should be kept away from the eyes by at least one arm distance
2. viewing angle should be 10 to 15 degrees below the straight ahead eye position
3. the lighting should be adequate without producing reflections either on the screen or to the eyes
4. please keep the keyboard tabs flat, rising the tab can make wrist angle while typing which can produce wrist pain
5. keep the shoulders relaxed and not raised to avoid shoulder pain.
6. keep the neck and head straight and make the eye angle down to see the monitor. The table height or the computer height can be adjusted.
7. the legs should make an obtuse angle or atleast an right angle to the floor to avoid thigh and joint pain
8. the sitting chair can be made with aback support; if not a small pillow can be used to support the spinal cord.
9. try to sit erect and avoid any forward bend of the back bone which makes the vertebral column relaxed.
10. letters to be typed can be placed in the letter holder to avoid any down, up head movements.
11. maintain proper font size, contrast, font. Black and white contrast is better and safe.

What causes Computer Vision Syndrome? Read more…

Facilities at Darshan Eye Care for Computer Vision Syndrome
Autorefractokeratometer
Dry Eye Evaluation
Flipper test for Accommodative Facility
Ergonomic Assessment and Counselling

Spectacle Services

Advances in spectacles lens materials and designs over the years now allow improved visual quality. Besides being used for correcting refractive errors and for cosmetic reasons, contact lenses are used as treatment modalities in corneal and external eye disease.

What are the recent advances in spectacles and contact lenses? Read more…

OPTICAL SERVICES
We aim to help you see better. We take our care a step further, by offering the services of optical shop within the clinic.
The in house optical shop, provides an extensive array of lenses and frames featuring the latest styles and designer fashion brands.
Our Experienced staff provide the highest level of care to ensure you find the perfect eyewear and sunglasses.
We hope the following details help you make a learned choice of spectacles, suiting your needs and your budget.

What are the different types of spectacles and what are their advantages?
In general spectacles form a safe and effective form of correction for most visual needs. A variety of options exist for this – both in the form of frames which can be light and hardy – shell frames; rimless and semi-rimless for a more stylish appearance; metal frames in various colors and designs; and designer wear for the fashionable.

Lenses for refractive correction can be single vision – and with the advent of the high refractive index lenses, these can be made quite thin, both in glass and plastic to allow an acceptable cosmetic appearance.
What are ‘progressive’ lenses and when are they indicated?

For older persons, who need bifocal corrections, the advent of the progressive lenses has proved a boon, and not only are these cosmetically better in appearance, they also provide enhanced functionality.The absence of a separately powered inferior segment – as in the traditional bifocal –
allows a seamless change in power from that for distance vision, to that for near vision – and this also incorporates the effective correction for intermediate distance – which is especially useful for those who work with computers for their daily activities.

These glasses are also more suitable for those who spend time outdoors and indoors as the lack of a bifocal segment enables them to adjust easily to all activities.

How do I take care of my spectacles?
Looking after your spectacles is as important as making the right choice when ordering them. Carry the spectacles in the provided box to ensure that they do not get damaged.

Clean the lens with soap and running water, and then shake them dry, before gently cleaning the surface of the lens with the provided cloth.
Do not clean them when there is dust and grime on the surface – as this can result in scratches. Be sure to regularly clean the hinges of the frame to ensure that they open and close smoothly.

TIPS FOR CHOOSING THE RIGHT SPECTACLES

RIGHT FRAME
Since spectacles are usually worn throughout the day, having a comfortable frame is very important. A good fit is as important as a trendy look.The most important aspect of a frame is that the eyes should see through the center of the lens. Hence, please wear the frame and look at yourself in the mirror to ensure this. Since the shape of each face is different, this can sometimes be a challenge.

Once this is done, make sure that the length of the side stem is appropriate – the loop of the stem should fit securely around your ear – if it is too long, the frame will tend to slide forwards when the head is tilted. However, if too short or too tight, the pressure exerted by the frame will result in a headache.

A shell frame distributes the weight of the spectacles on the bridge of the nose and is less likely to leave unsightly pressure marks on the nose, unlike frames with nose pads.

Rimless frames look nice,but are quite delicate and should be chosen only if proper care will be exercised, as they tend to get bent and distorted quite easily.

CORRECT LENS
The optician will ensure that the power and centration of the lens are appropriate.
However, there are other choices that you can make when choosing your spectacles and it is important to be aware of them.

In general, glass lenses are heavier than plastic lenses and this is especially true for higher refractive errors. Plastic lenses are also the best choice when choosing spectacles for children, as they do not break and are hence safer. Similarly, when choosing a delicate frame, be sure to use a plastic lens to lessen the weight of the spectacles.

To reduce the thickness of the lens – in higher refractive errors, choose a high index material – both in glass and plastic. Choosing a frame with a smaller eye segment will also help in achieving a better cosmetic appearance in such cases.

Tints in the lens help reduce glare, and do not interfere with vision in indoor lighting conditions. For those who spend a lot of time outdoors, a photochromatic lens, which darkens on exposure to sunlight, can be helpful.
Antireflective coatings help to reduce glare at night. Scratch resistant coatings will reduce the risk of damage to the lens surface.

RADING GLASSES
For those who do prolonged reading, a separate pair of glasses in a regular frame, will provide greater reading comfort.
However, for those who are mostly outdoors, with only occasional reading requirements, using half segment readers are more convenient as they can carry these small frames more easily.
For those whose work requires the constant use of both distance and near vision, as in an office environment, the use of bifocals is recommended. These lenses consist of two distinct segments – an upper portion for distance viewing and a lower portion for near viewing. If the person has predominantly distance viewing requirements, a kryptok bifocal,
with a smaller reading segment is helpful; while for those with more reading requirements, an executive bifocal, with a larger reading segment is helpful. The presence of two distinct segments with a dividing line can be disturbing in some individuals, due to the image jump when the eye traverses this line. In these individuals, and also in those who use computers a lot, the use of a progressive or transition lens – in which there is no distinct separation of
the distance and near segments of the lens, is helpful.

We hope the above information has been helpful in making your use of spectacles a safe, comfortable, and rewarding experience. If you have any suggestions or comments, please do let us know at darshaneye@gmail.com.

Please note that refractive errors can also be treated by contact lenses and by refractive surgery, if you desire not to wear spectacles. To check if these options are suitable and advisable for you, please consult your ophthalmologist, who will help you decide.

Contact Lens Clinic

When should I consider contact lenses?
Darshan Eye Care maintains a staff of contact lens professionals dedicated to fitting you with the type of lens that is best suited to your ophthalmic needs and lifestyle.

If glasses are considered unacceptable for cosmetic or occupational or recreational needs, then contact lenses can help. Contact lenses also allow normal vision for people with a wide range of corneal conditions. Infants and young children often have various visual conditions that require a contact lens so that their vision system can develop normally.

Knowing which type of contact lens is right for you is more challenging than ever before given the wide range of options available.A contact lens is a transparent lens which is positioned on the center of the black portion of the eye (the cornea). Contact lenses are basically of two types – soft and rigid. Soft lenses are usually preferred as they provide greater wearing comfort. For ‘simple’ myopic and hyperopic errors, without much astigmatism, regular soft lenses are adequate. These are now available as ‘disposable’ lenses – usually changed once in 2 weeks, once a month, or once in 3 or 6 months. The advantage of disposable lenses is that the protein buildup that occurs with long-term use, can be avoided. If however, the eye has a significant amount of astigmatism, then the regular soft lens designs will not provide clear vision. To correct this astigmatism, a special type of soft lens, called the toric lens must be used. In general, these lenses are more costly than the regular lenses, although these are also now available in disposable designs. If soft lens use results in an allergic condition in the eye,as happens rarely, then the patient may need to consider the use of rigid lenses, usually the semisoft design. These lenses are made of a different material compared to soft lenses, and can often be used when allergy develops to soft lenses. Another important indication for the use of these semisoft lenses is when the cornea is abnormal. This may be due to the presence of corneal scarring from previous injury or infection, or due to a loss of the regular shape seen in some genetic conditions – the commonest of which is keratoconus. In other eyes that have been fitted previously with very tight soft lenses, the corneal periphery called the limbus and the delicate cells on the back of the cornea – called the endothelium, may suffer from the lack of a proper oxygen supply and in these eyes, the use of a semisoft lens (also called a rigid gas permeable lens or RGP lens) is a better design, as it promotes a better oxygen supply to the cornea and limits further corneal damage.

What does the contact lens fitting process involve?
The optometrist will use an appropriate ‘trail lens’ from a set available in the clinic is fitted to your eye. The fit of the lens on the eye is assessed, and if required modified. Vision is tested and the correct power required for the lens is determined. The Contact Lens Clinic will also provide the patient with detailed instructions on the use and care of the lens and the necessary solutions that are needed to maintain the contact lens. In order to help fit patients with distorted corneas, the clinic has a special set of contact lenses that have allowed patients with difficult problems – due to shape distortion or after corneal surgery, to be fitted with comfortable lenses that allow clear vision.

Care for your contact lens
Looking after your contact lenses is as important as making the right choice when ordering them.
The Contact Lens Clinic will also provide the patient with detailed instructions on the use and care of the lens and the necessary solutions that are needed to maintain the contact lens.
Carry them in the provided cases to ensure that they do not get damaged.
Clean the lens according to the instructions given to you and ensure that you thoroughly wash your hands with soap and water before you handle the lenses.
Be sure to regularly clean the lens case, following the instructions given to you.

Here are the major types of contact lenses:
Soft lens
Semi soft (RG P)
Prosthetic lens
Bandage lens
Cosmetic lens
X chrome lens
Kerasoft lens
Rose-K lens
Semi-scleral lens
Boston Scleral lens

Soft contact lenses are thin, pliable lenseswhich are typically easy to adjust to and comfortable to wear. Soft contact lenses are further available as daily wear lenses (which are removed at the end of the day, cleaned and disinfected); extended wear lenses (which are worn around the clock but must be removed and cleaned ); and daily disposable lenses (which are discarded after a single use).It comprises of 2-hydroxyethylmethacrylate (HEMA) molecules which absorbs water content (hydrophilic). These lenses can be used either as daily wear lens or disposable lens according to requirement of the user. Disposable lenses are thinner than regular lenses, but give more comfort Soft lenses are preferable for:
Cylindrical correction less than 1 Diopter, Myopes (minus power), Hyperopes (plus power),
special toric lens for power up to 2.25 Diopter of cylindrical correction
More comfort
Sports persons
A healthy Cornea (the black portion of the eye) without any abnormalities
Stable power

Rigid, gas-permeable lenses (RGPs) are made of durable plastic that floats on a layer of tears in your eye. They allow more oxygen to pass through the lens to reach the cornea than most soft lenses, reducing the risk of eye infection. Unlike soft lenses, however, they take longer to fully adjust to.
RGP lenses are preferable for:
Cylindrical power more than 1 Diopter up to 4 Diopter, high myopes and hyperopes
corneal abnormalities leaving scars due to infections
Aphakia (absence of lens due to injury, infections etc)
Keratoconus – steepening and variation in curvature of cornea, which ends in frequent change of glasses
Special Contact Lenses
While the lens systems described above are inadequate for correcting refractive errors in those with special corneas – these include those with a corneal problem called keratoconus, those who have undergone corneal transplant surgery, LASIK or other refractive surgery, and in those who have corneal scarring or irregularities resulting from injury or infection.
In order to help fit patients with distorted corneas, the clinic has a special set of contact lenses that have allowed patients with difficult problems – due to shape distortion or after corneal surgery, to be fitted with comfortable lenses that allow clear vision.
Rose K Lens
Rose K lenses have computer aided posterior lens curves, or a reverse geometry design which provide the patient with wearing comfort and clear vision. These lenses help us provide such patients with clear vision in even the most difficult corneal conditions, by individually customizing the contact lens for each patient’s requirements.
KeraSoft Lens
KeraSoft is soft and silicone hydrogel contact lenses designed to manage the condition of irregular corneas including Keratoconus. They are marketed as an alternative to rigid gaspermeable lenses, offering improved comfort and longer wearing times.
Scleral Contact Lens
Scleral contact lens is a large contact lens that rests on the sclera and creates a tear-filled vault over the cornea. Scleral lenses are designed to treat a variety of eye conditions, many of which do not respond to other forms of treatment. It may also be used in people with eyes that are too sensitive for other smaller corneal-type lenses, but require a more rigid lens for vision correction conditions such as astigmatism.

Are there other types of ‘special’ contact lenses?
Yes. Apart from the lenses described above which are for providing the patient with good vision, there are other types of lenses as well.
Prosthetic lensThese are soft lenses which are used to mask corneal opacities in unsightly blind eyes.
The colors help match the color of the fellow normal eye and the central black zone provides an appearance of normality in a scarred eye.It is a soft lens made with colours to give false appearance, to match the normal eye.
Prosthetic lens are suited for:
White opacities in the cornea (black portion of the eye)
Matching the blind eye (this is applicable only when the other eye is either damaged or having any ocular defect
Cosmetic lens
These are soft lenses that are colored, but have a clear central zone. These are used for cosmetic purposes, when the user desires to change the color of the eye. The clear center is used to allow good vision in these sighted eyes. They can also be made to incorporate a refractive power in the central zone in patient who also have refractive errors.
X –chrome lens
This is a soft lens which is colored orange and helps improve contrast in some people with a red color deficiency.
Bandage contact lens
It is a transparent soft lens without any power to improve the wound healing process of the cornea with the help of suitable medications. Medications may be applied with the bandage lens on the eye.
In certain disorders that disrupt the integrity of the surface of the cornea, the use of a special high water content lens performs the function of a bandage on the eye, allowing the damaged epithelium to heal. This lens can often be left in place for a Periodical time to protect the cornea.
What are the Do’s and Don’ts of contact lens wear?
Always wash hands before handling lenses
It is advisable to follow the instruction given by the practitioner for inserting and removing lenses
Clean and rinse the lenses every time, on removal
Disinfect them every day by soaking them in to the lens cleaning solution
Always store the lens in solution, whenever the lenses are not in use
The soaking solution must be changed every night
The case must be cleaned regularly with warm water at least twice in a week
It is advisable to apply cosmetics after inserting lens, cosmetics better to be used in a limited manner
Ensure nails are short and clean
For deposit removal enzyme tablets may be used on consent of the practitioner
It is a must that the contact lens is removed before sleeping
Wear time of 12 hrs to 14hrs is the permissible duration per day
Eye medication are not to be applied while the lenses are being worn
We hope the above information has been helpful in making your use of contact lenses a safe, comfortable, and rewarding experience. If you have any suggestions or comments, please do let us know at darshaneye@gmail.com.
Please note that refractive errors can also be treated by spectacles and refractive surgery, if you desire not to wear contact lenses. To check if these options are suitable and advisable for you, please consult your ophthalmologist, who will help you decide.

Cataract surgery and IOL Clinic

Our eyes have a natural clear lens that allows images of our world to be focused clearly on the retina – the light sensitive screen at the back of the eye. With age, (and rarely due to other causes), the natural lens loses its clarity. This change is called a cataract and it causes blurred vision. Cataract surgery is quick and painless. The cataract is removed through a very small opening (that closes without stitches). A foldable intraocular lens that is inserted greatly improves the quality of vision and minimizes the need for glasses.

What is the state-of-the-art phacoemulsification surgery? Read more…

Facilities at Darshan Eye Clinic for Cataract and Lens Implant Surgery:
A Scan Ultrasonography
Keratometry
Digital Biometric Reading (DBR)
Optical Interferometer
Specular Microscope
Pachymeter
Retinal OCT
B_Scan Ultrasonography
YAG laser for posterior capsulotomy

Refractive Surgery Clinic

What is ‘refractive surgery’?
When patients with refractive errors want to have good unaided vision without the use of spectacles or contact lenses, then surgical correction of the error is an option. Currently, the most common procedure to achieve this goal is termed LASIK – and the acronym stands for Laser Assisted In Situ Keratomileusis. It refers to the use of the excimer laser to reshape the cornea after a corneal flap is created using an instrument called a microkeratome.
In patients with corneas that are thinner than normal, the use of a corneal flap can prove dangerous, and in these patients, the procedure is performed after removing the corneal epithelium alone – and is termed LASEK – Laser Assisted Subepithelial Keratomileusis.
Light rays can be made to focus properly on the retina by using glasses, contact lenses, or by a variety of surgical methods. Refractive eye surgery is any eye surgery used to improve the refractive state of the eye and decrease dependency on glasses or contact lenses. The most common methods today use the excimer laser. Other surgical procedures require the use of heat to shrink the cornea selectively (conductive keratoplasty), or implant material in the cornea to change its shape (intrastromal corneal
ring segments), or the implantation of a lens inside the eye (phakic intraocular lens) or replacement of the natural lens with an intraocular lens (clear lens extraction).
How do I decide what refractive correction is appropriate for me?
A variety of refractive options are now available that will fulfill the needs of all patients. It would be best to discuss your needs and requirements with your ophthalmologist – after a detailed evaluation of your eyes, he would help you decide the most suitable option for your eyes.

How does successful refractive eye surgery eliminate common refractive errors such as myopia, hyperopia and astigmatism? Read more…

Facilities at Darshan Eye Clinic for Refractive Surgery:
Corneal Tomography
Corneal Pachymetry
Pupillometry
Ocular Surface Analyser for Tear film and surface assessment
Advanced surface ablation
Femto (Bladeless) LASIK
SMILE

Cornea and Scleral Diseases Clinic

The cornea and sclera form the protective shell for the delicate structures inside the eye.Infections, injuries, inflammations, genetic conditions, surgical, and rarer conditions like tumours can damage the corneal and sclera. Damage to the cornea can render it opaque resulting in blindness. Damage to the sclera can threaten the physical integrity of the eyeball itself.

How can corneal and scleral diseases be treated? Read more…

Facilities at Darshan Eye Clinic for Corneal and Scleral Disease
Corneal Tomography
Specular Microscopy
Corneal Pachymetry
Anterior segment OCT
Slit lamp photography
B scan Ultrasonography
Ocular Microbiology Lab
Pharmacy and eye drop formulation facilities

Ocular Surface Clinic

The conjunctiva is a protective covering of the eye and lines its entire surface from the margin of the cornea to the skin of the lids. It has many glands that secrete the watery and mucous part of the tears. It also contains the defense systems of the surface of the eye to fight infections. Injuries (such as chemical burns), infections and inflammations, allergies, and tumours can damage the conjunctiva. Some conditions can be vision-threatening.

Conjunctival disorders can be complex conditions with many modes of treatment. Read more…

Facilities at Darshan Eye Clinic for Ocular Surface Disorders
Special Staining Tests
Dry Eye Evaluation
Ocular Surface Analyser
Intense Regulated Pulsed Light Therapy
Slit lamp photography

Keratoconus Clinic

Keratoconus is a loss of the regular shape and stability of the cornea. It is not uncommon in India. Any rapid change in refraction, especially the cylindrical power, a loss of quality of vision, and distortion of lights especially when seen at night must heighten the suspicion of this condition and requires an ophthalmologist visit. Eye rubbing is known to potentiate the
development of this condition and hence must be avoided. Allergies of the ocular surface and any inflammation must be treated. If not treated at an early stage, progressive loss of visual quality can result, and when spectacles do not help, special contact lenses are used to improve vision. If these are also unsatisfactory, corneal transplantation is considered.
However, recent advances include the procedure of Collagen Cross-linking which can help stabilise the corneal shape and prevent further worsening.
Facilities at Darshan Eye Clinic for an Orthoptic Evaluation:
Scheimpflug corneal tomography
Anterior segment OCT
Pachymetry
Specialty contact lenses – RGP, Rose K, Kerasoft, Semi-scleral, Scleral
Collagen Cross-Linking
Corneal transplantation – Lamellar and Penetrating
Hydrops management
Crescentic wedge excision in advanced Pellucid marginal degeneration

Glaucoma Clinic

Glaucoma (high eye pressure) is a leading cause of blindness in the elderly, by damaging the optic nerve. When damage to the optic nerve occurs, blind areas develop in the field of vision, and usually go undetected until the optic nerve is significantly damaged. The most common form has no symptoms in its early stages. Glaucoma has therefore been nicknamed “the silent sight thief”. Worldwide, it is the second leading cause of blindness. Glaucoma affects one in two hundred people aged fifty and younger and one in ten over the age of eighty. Early detection is the key to preventing this damage. A regular eye pressure check is the best way to detect glaucoma.

What causes glaucoma and how can it be treated? Read more…

Facilities at Darshan Eye Clinic for Glaucoma
Applanation tonometry
Gonioscopy
Corneal Pachymetry
Anterior segment OCT for angle measurement
Disc photography
Automated Visual Field Analyzer
Optic Nerve Head Imaging
RNFL layer analysis
Ganglion cell analysis
YAG Laser

Neuro-Ophthalmology Clinic

Neuro-ophthalmology is a very specialized field of medicine incorporating the fields of ophthalmology and neurology. About 25% of the brain’s neurons are involved either directly or indirectly with vision. Many neurological conditions (including life-threatening diseases like tumours and aneurysms of the brain) often present first with eye symptoms. Many of the eye signs may be subtle and missed if not recognized. Besides specific facilities for neuro-ophthalmic evaluation, Darshan Eye Clinic has access to excellent facilities for Electrophysiological testing (like Visual Evoked Potentials) and neuroimaging (CT Scan and MRI) and cross-referral facilities to expert neurologists and neurosurgeons.

What are the signs of optic nerve disease. Read more…

Facilities at Darshan Eye Clinic for Neuro-ophthalmology
Ishihara Test Plates for Colour Vision
Automated Visual Field Analyzer
Disc photography
Diplopia charting
Pupillometry
OCT analysis of the disc
RNFL layer analysis
Ganglion cell analysis

Pediatric Clinic

Any obstruction to vision at a young age can cause permanent damage to the visual system that cannot be corrected later. Since small children often may not notice such changes, it is very important that all children undergo a screening eye exam at an early age.Refractive errors, misalignment of the eyes (squint), structural problems, retinal damage associated with premature births, and rarely a malignant tumor of the retina – retinoblastoma, are some of the conditions that can affect vision in children.

How can squints and “lazy eyes” be treated? Read more…

Facilities at Darshan Eye Clinic for Child Vision Examination
Ishihara test Plates for Colour Vision
Prism Bars for Squint Assessment
Titmus Fly test for Stereopsis
Synoptophore
Orthoptek for Amblyopia and Stereopsis improvement
Low dose atropine to delay myopia progression
Stellest spectacle lenses to delay myopia progression

Retina Clinic

The retina is a delicate, extremely complex light-sensitive “screen” that lines the inner wall of the back of the eye. The vitreous is a jelly-like mass that fills up the back of the eye and has shock absorbing and nutritional functions. Retinal degenerations and holes that can lead to detachment of the retina, damage due to diabetes mellitus and high blood pressure, and age-related macular degeneration are some of the more common retinal conditions that can damage sight.

What are the symptoms of retinal disease? Read more…

Facilities at Darshan Eye Clinic for Retinal and Vitreous Diseases
Indirect ophthalmoscopy
B-Scan Ultrasonography
Special lenses for retina and vitreous evaluation
Optical coherence tomography
Digital Fundus photography and Angiography
Green Laser Treatment
Laser Indirect Ophthalmoscope
Cryotherapy

Ocular Inflammation Clinic

Think of the eye as a hollow, fluid-filled, 3-layered ball – the outer layer is the sclera, a tough coat, the innermost is the retina, the thin light-gathering layer, and the middle layer is the uvea. The uvea is made up of the iris, ciliary body and choroid. Intraocular inflammation, also called uveitis, affects this layer.

Why is uveitis such a serious problem? Read more…

Facilities at Darshan Eye Care for Ocular Inflammations
B-Scan Ultrasonography
Digital Fundus photography
Optical coherence tomography of the Retina
Optical coherence tomography angiography
Anterior segment optical coherence tomography

External Eye and Orbital Diseases

The lacrimal system secretes the tears that keep our eyes wet and optically clear. The eyelids also contribute to the tear film besides physically protecting the eyes. The orbit is the bony “socket” that contains the eyeball and associated structures. It protects the sensitive structures required for normal vision, especially the eye itself. It also anchors the extraocular muscles that move our eyes.

What can go wrong with the lids and lacrimal system? Read more…

What are the symptoms of orbital disease? Read more…

Facilities at Darshan Eye Care for External Eye and Orbital Disease
Hertel’s Exophthalmometer
Dry Eye Evaluation with the Ocular Surface Analyser
Hess Charting
Pupillometry
External Photography

Ancillary Services

Darshan Eye Clinic has been conceived as a one-stop-shop for eye health. Ancillary facilities allow our patients to complete their eye examination, relevant investigations, and medical treatment at the clinic itself.

1.Optical Services
2.Pharmacy
3.Ocular Microbiology Laboratory
4.Laboratory for Fitness evaluation for Surgery
5. Expertise – can use what is already there on the old website
6. Patient information – can use what is already there on the old website
7. Academics