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					Eye Care
(http://www.armancare.com/eye_care.html)



Cataract

Glaucoma

Laser Vision Correction

Aesthetic Plastic Eye Surgery

Squint Occuloplasty

Retinal Surgery

Cornea Transplantation

Neurophthalmology

Cataract
            What is cataract ?

        Cataract is the clouding of the lens in your eye which causes blurred or hazy vision. Ageing is the
most common cause for cataracts. Other reasons may be eye injuries, eye diseases or long term
medications like steroids.

           How a cataract eye affects your vision ?

        Light from an object is broken up as it passes through a cloudy, discolored lens, causing the
image to be blurred and dull. Hence, the quality of vision decreases.

        What are the symptoms of cataract ?

         An early sign is increasing glare from strong sunlight or bright lights at night. This may cause
difficulty in driving at night and you might notice halos around car headlights.

Blurring of vision is the next most common problem. This leads to frequent changes in prescription
glasses.

Colors that are normally bright may appear faded and washed out. Difficulty in reading is also a common
problem.

What can you avoid cataract ?
Reducing the amount of ultraviolet light exposure by wearing sunglasses may reduce your risk of
developing a cataract, but once developed, surgery is the only option

What are the opitions to treat cataract ?

Surgery is the only treatment after diagnosis and confirmation of cataract by an ophthalmologist.
Diagnosis involves a thorough slit lamp microscope examination, eye pressure check and retina
evaluation to rule out any other problem with the eyes.

How much time does the surgery take ?

        Cataract surgery is a day-care surgery i.e. It does not require admission in the hospital. The
surgery takes approximately 10-25 minutes. Patient can leave the hospital 2-3 hours after surgery.

What are the different techniques of cataract surgery ?

          This involves the removal of the clouded, opacified lens and its replacement with a synthetic,
clear intra-ocular lens (IOL). Ophthalmology is now advanced enough to remove this clouded lens
through extremely small micro-incisions. Small incision surgeries have helped in faster visual
rehabilitation & the patient can soon resume his daily activities. Cataract surgery can be performed
by the following techniques:

• ECCE (Extra-capsular cataract extraction): This involves removal of the cataract & placing of the
IOL through a large incision of about 10 mm. The incision is closed by taking sutures. This method is now
almost obsolete.

• SICS (Small Incision Cataract Surgery): This is a better technique than ECCE with the incision being
about 5-6mm. Both foldable & non-foldable IOL may be placed. There are no stitches required to
close the incision.

        Phaco / laser (phaco-emulsification technique)

        This is the best technique available for cataract extraction. It involves the removal of the
clouded, opacified lens and its replacement with a synthetic, clear foldable intra-ocular lens through a
very small micro-incision of 2.8 mm.

Visual rehabilitation is much faster in this surgery; the outcomes are much better.

What are the types of Intra Ocular Lenses ( IOLs )

 •      MONOFOCAL LENSES, also known as standard lenses, provide clear vision but only at one fixed
focal point, usually at a distance. If you are fitted with a monofocal lens, you will most likely need glasses
to see up close.
•        MULTIFOCAL LENSES, have special features that correct your near, intermediate, and distance
vision in the same lens. Multifocal IOLs provide your best chance at being free of glasses for the majority
of activities.

•       ACCOMODATIVE LENSES, also known as variable focus lenses, are designed to move in response
to your eye muscles to adjust for near, immediate and far vision. Those who are able to retrain their eye
muscles to move the lens have experienced relief from presbyopia as well as cataracts. However,
accommodative lenses actually have a fixed focal point, which makes them a type of monofocal lens.

•      TORIC LENSES are designed for people with astigmatism, reducing or virtually eliminating the
need for glasses for distance vision following surgery in people with astigmatism.




Corneal Transplantation

         The CORNEA is the transparent tissue at the front of the eye and the only place in the body
where tissue is clear. The transparency and shape of the cornea is vital for good vision and any
alteration in this can result in poor vision or blindness.

Several conditions that affect the transparency of the cornea include Keratoconus, Fuchs Endothelial
Corneal Dystrophy, a condition where the cells of the innermost layer (endothelium) become deficient
and unable to remove fluid from the cornea. The cornea becomes swollen and loses clarity. Trauma,
prior eye surgery and Herpes simplex viral disease can also affect corneal clarity.

 Corneal transplantation involves removal of a portion of (partial or lamellar keratoplasty) or complete
(full thickness or penetrating keratoplasty) removal of a cloudy or deformed cornea and replacement
with a transplant donated by another human being at death.

Types of transplantation performed in our hospitals are:

•       Penetrating Keratoplasty

•       Deep Anterior Lamellar Keratoplasty ( DALK )

•       Descemet’s Stripping Endothelial keratoplasty (DSEK)

•       Therapeutic keratoplasty
        Laser vision correction – a new dimension
         Laser vision correction - a highly successful method of correcting myopia and hypermetropia,
works by changing the shape of the cornea. More than 30 million worldwide have undergone laser
vision correction to free themselves from glasses and contact lenses.

The following procedures are performed:

        Lasik

        For a range of LASIK eye surgery information and FAQs read the section on LASIK.

        What is lasik ?

         Used to correct refractive errors, LASIK eye surgery is a treatment that reshapes the cornea in
order to produce clear vision. The LASIK refractive eye surgery procedure can treat myopia
(nearsightedness), hyperopia (farsightedness), and astigmatism, and reduce patients’ dependency on
contact lenses and glasses. Because refractive errors impede the focusing ability of the eye, patients
who suffer from these conditions experience blurred vision. LASIK eye surgery provides these individuals
with an effective treatment option, where a predetermined amount of corneal tissue is removed. This
reshaping of the cornea improves the eye’s focusing power and enhances patients’ visual acuity.

        What is custom lasik ?

         In the past, LASIK eye surgery was based simply on your prescription: whether you were
nearsighted, farsighted, or astigmatic, and your degrees of each. However, excellent vision is also
dependent on higher-order aberrations — more complicated and personalized visual imperfections that
affect the crispness and clarity of your vision. New custom LASIK technology is able to diagnose and
treat these visual imperfections like never before. Custom LASIK eye surgery has the same mechanical
components of traditional LASIK, but is fully personalized and guided by a detailed WAVEFRONT
ANALYSIS map of your eyes.

        Epi - lasik

                If you have been told that you are not a candidate for LASIK, you may be able to benefit
from another type of laser eye surgery called Epi-LASIK. The information on this page can help you learn
about the steps, benefits, and complications associated with this procedure.

        What is Epi - Lasik ?

         Epi-LASIK is a laser vision correction procedure designed to treat myopia (nearsightedness),
hyperopia (farsightedness), and astigmatism. Unlike LASIK, Epi-LASIK does not require the creation of a
corneal flap. As a result, people with thin corneas or other conditions that could contribute to LASIK
complications may be suited for the procedure.
        Epi-lasik laser eye surgery



         As in other laser eye surgery procedures, Epi-LASIK begins with the use of anesthetic eye drops
to numb the eyes. An instrument called an epikeratome is then used to isolate a thin layer of tissue in
the epithelium (the outer layer of the cornea). The epithelial sheet is moved aside and an excimer laser
is used to carefully reshape the cornea. Once laser treatment is complete, the epithelial sheet is gently
replaced and allowed to adhere with the aid of a special contact lens

Following Epi-LASIK, patients usually experience improvements in their vision around the third or fourth
day, with most patients being able to drive in about a week. Vision may continue to improve for a period
of up to several months. While the recovery time following Epi-LASIK is somewhat longer than with
LASIK, the procedure may produce fewer flap complications because it does not penetrate the cornea.

As a means of laser eye surgery, Epi-LASIK offers many advantages.

The following benefits have been reported in association with the procedure:

•       Able to treat patients with thinner corneas

•       Reduced incidence of flap complications

•       Lower rate of dry eye syndrome

What is medical tourism?

 Medical tourism, also known as health tourism or health travel, is a term that describes travelling to a
foreign country for medical, dental, or cosmetic treatment. It involves the benefit of cost effective
treatment, private medical care, in collaboration with the tourism industry. The concept of medical
tourism is fast growing in India and people from different part of the world are choosing India as their
desired destination.

Why Choose India?

Medical tourism is a rapidly growing sector in India and millions of medical tourists from all over the
world have come here to experience a world-class healthcare service.

In 2010, about 600,000 patients travelled to India from over 30 countries for treatment, including the
USA, Canada, UK, Russia, the Middle East and Africa.

According to a study by the Confederation of Indian Industry (CII) on healthcare, after software, the
medical tourism industry is poised to be the next big success story in India. It has predicted that the
industry will grow to earn additional revenue of $2.3 billion by 2012 and will soon account for a major
share of the country’s revenue.

There are several reasons behind this tremendous growth:

Patients come to India to get specialized treatments not available in their home country. Indian hospitals
excel in performing complex cardiac surgeries, kidney transplants, bone marrow transplants, orthopedic
surgeries, infertility treatments amongst their wide repertoire.

India provides world-class quality treatments at a fraction of the priceof developed countries. The cost
of medical treatment in India is generally one tenth of western countries and among the cheapest in
Asia.

India has state of the art medical institutes and hospitals of international standards with highly qualified
medical professionals.

These centers are backed by high quality equipment and technology. This fusion of highly qualifiedstaff
assisted by the latest equipment gives India the edge over other countries.

With hospitals and clinics in every region including urban, semi-urban, or rural parts of the country, India
has ample choice in terms of preferred destinations.

In countries such as Canada and the UK, patients almost always have to wait weeks and sometimes
months to avail of medical treatments. In India the consultations with the doctors are prompt and
patients receive a turnaround to their treatment plan at a quicker pace.



As English is a commonly spoken language in India, the patient will be comfortable communicating with
the doctors.

Medical tourists find that the cost of their treatment (including the return airfare, holiday and
accommodation) leaves them with a total bill substantially less than they would have spent just on
having the procedure in the UK.

Why Arman

There are several concerns that flicker in the minds of the foreigners who come for treatment to India,
particularly for first time fliers. The first among them is which hospital to choose for their treatment.

India is flooded with hospitals, medical centers and hotels which have their websites that attract the
foreign patients. This makes them even more confused and the complexity of decision making becomes
a challenging task.

We, at Arman can address all these concerns and issues by acting as intermediary with hospitals, clinics,
surgeons, hotels.
Arman is a healthcare facilitator that has painstakingly brought together highly qualified professionals
and hospitals of repute and health care providers.

We take the responsibility of screening the hospitals by checking their track record, accreditations,
associations and have partnered with the best internationally accredited hospitals in India.

Arman update and monitor our network of hospitals on a regular basis and maintain a database on the
hospital’s certifications, type of facilities and other factors critical in choosing a medical center.

Arman also negotiate a lower price from the hospital which foreign patients would not get by directly
approaching the hospitals This helps the patient to save a lot on the medical procedure costs

We provide assistance with logistics, documentations, permits and other travel arrangements required
for medical tourism.



Our coordinators are highly trained to foresee every need of the patient and make the entire process
hassle free from start to finish. They help the patient plan his medical procedures before leaving home,
and schedules all his appointments, surgery, treatments and plans for recuperation.

This in turn helps the patient to choose the hospital according to his convenience and also get a clear
picture of the cost of treatment, accommodation beforehand that helps them to arrange their finance.

We are aware that a lot of trust is put in our hands and ensure that this trust is well placed by serving
each patient individually with care and comfort.

How We Work

Patient query received by the patient himself or his doctor/ hospital.

This query along with medical reports is forwarded to the concerned hospitals to get expert opinions

After the hospitals respond, we create a package for the patient which includes recommendation on the
treatments, duration of stay, and the costs involved.

The patient reviews the various options presented to him and makes a decision based on budget and
the line of treatment recommended by the doctors. Occasionally, a patient may clarify his concerns or
questions he may have regarding the treatment with the doctor by telephone.

In liaison with the patients, Arman representatives will make prior bookings with the hospital, airlines,
hotels.

Patient travels and checks into hospital to start the treatment. We provide assistance through out your
stay in the hospital which include pre and post opeartive care.
Once fit and able to travel, the patient if wishes can enjoy the vast tourist destinations within India
before returning to their home country fully rejuvenated. (at an additional cost)(ebranding/mum/ts/19)

Arman Health Care Facilitators

OUR OFFICE IN INDIA

422, Bonanza, 'B' Wing,Sahar Plaza Complex, Next to Kohinoor Hotel,

Andheri Kurla Road, Andheri East Mumbai India 4000059.

Contact: land line No: ( 022-28387433 ) Email :enquiry@armancare.com

OUR OFFICE IN CONGO

Arman Health care Facilitators,Gallery Saint-Pierre, 36 local

UtexAfrica Advanced ,AV 374 VolonelMondjiba,Kinshasa / Ngaliema,DRC Mobile : +243998290384

OUR OFFICE IN KENYA

Arman Health Care Facilitators C/O Doctor Pharma Kenya Limited Vision Tower, Muthithi Road,

Westlands, Nairobi,Kenya.Contact: Telefax:(+254)722330329

Email : doctorpharmamt@gmail.com

Web:- http://www.armancare.com/eye_care.html



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