Indian Health Guru Medical trip planner & Manager in INDIA IndianHealthGuru Consultants Website : www.indianmedguru.com Eye surgery in India Overview: The human eye is a complex mechanism in many ways similar to a camera. Just as the camera records images on a film, the eye records them on a special layer called the retina. Just like the camera needs lenses to focus images on the film, the eye also has lenses to focus images on the retina. The eye has two lenses: the cornea and the “lens”. The cornea is a fixed focus lens. It simply bends light rays by a fixed amount. The lens is like an auto focus system. It changes its shape to focus images perfectly on the retina, so that images appear sharp and crisp. Sometimes when there is a mismatch between in these natural setups, it might require a treatment or an eye surgery. What is Eye surgery? Eye surgery, also known as Orogolomistician surgery or ocular surgery, is surgery performed on the eye or its adnexa, typically by an ophthalmologist. Eyes are one of the most important organs in the human body and vision is one of the most wonderful gifts. But often many people neglect the importance of eye care and do not pay proper attention towards eye care then comes the eye treatment or surgery in picture. Types of Eye surgery: Medical conditions: The various types of Eye surgeries are listed below: Amblyopia Bells Palsy Refractive Surgery Chalazion Cataract Surgery Color Blindness Detached Retina Glaucoma Surgery Hyperopia Corneal Transplant Macular Holes Vitreo-retinal Surgery Nystagmus Eye muscle Surgery Ocular Hypertension Oculoplastic Surgery Ocular Migraine Laser surgery Ocular Rosacea Optic Neuropathy Canaloplasty Peripheral Vision Vitreo-retinal surgery Photophobia Eye muscle surgery Pinguecula Oculoplastic surgery Presbyopia Eyelid surgery Ptosis Orbital surgery Sjogren's Syndrome Retinoblastoma Strabismus Stye IOL Common Eye surgery procedures: Refractive Surgery: It includes any procedure designed to treat the refractive errors myopia (nearsightedness), Hyperopia (farsightedness), and astigmatism. There are a number of refractive surgery treatments currently on the market; however, the techniques employed can vary greatly. Or in other words it is any eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses. This can include various methods of surgical remodeling of the cornea or cataract surgery. The most common methods today use Excimer lasers to reshape curvature of the cornea. Successful refractive eye surgery can reduce or cure common vision disorders such as myopia, Hyperopia and astigmatism. There are two basic types of corrective refractive surgery. One changes the curvature of the cornea (outer surface of the eye). The other changes the internal optics of the eye, either by replacing the natural lens of the eye or by using an intraocular lens in addition to the natural lens. Catarct surgery: is the removal of the natural lens of the eye (also called "crystalline lens") that has developed an opacification, which is referred to as a cataract. Metabolic changes of the crystalline lens fibers over time lead to the development of the cataract and loss of transparency, causing impairment or loss of vision. Many patients' first symptoms are strong glare from lights and small light sources at night, along with reduced acuity at low light levels. During cataract surgery, a patient's cloudy natural lens is removed and replaced with a synthetic lens to restore the lens's transparency. Following surgical removal of the natural lens, an artificial intraocular lens implant is inserted (eye surgeons say that the lens is "implanted"). Cataract surgery is generally performed by an ophthalmologist (eye surgeon) in an ambulatory (rather than inpatient) setting, in a surgical center or hospital, using local anesthesia (either topical, peribulbar, or retrobulbar), usually causing little or no discomfort to the patient. Well over 90% of operations are successful in restoring useful vision, with a low complication rate. Day care, high volume, minimally invasive, small incision phacoemulsification with quick post-op recovery has become the standard of care in cataract surgery all over the world. Glaucoma Surgery: Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure (IOP). There are many glaucoma surgeries, and variations or combinations of those surgeries, that facilitate the escape of excess aqueous humor from the eye to lower intraocular pressure, and a few that lower IOP by decreasing the production of aqueous. The type of surgery your doctor recommends will depend on the type and severity of your glaucoma and the general health of your eye. Surgery can help lower pressure when medication is not sufficient, however it cannot reverse vision loss. Glaucoma cannot be prevented, but blindness due to glaucoma can be avoided, if detected early and treated properly and regularly. Both laser and conventional surgeries are performed to treat glaucoma. Surgery is the primary therapy for those with congenital glaucoma. Generally, these operations are a temporary solution, as there is not yet a cure for glaucoma. Corneal Transplant: is used when vision is lost because the cornea has been damaged by disease or traumatic injury, and there are no other viable options. Some of the conditions that might require corneal transplant include the bulging outward of the cornea (keratoconus), a malfunction of the cornea's inner layer (Fuchs' dystrophy), and painful corneal swelling (pseudophakic bullous keratopathy). Other conditions that might make a corneal transplant necessary are tissue growth on the cornea (pterygium) and Stevens-Johnson syndrome, a skin disorder that can affect the eyes. Some of these conditions cause cloudiness of the cornea; others alter its natural curvature, which also can reduce vision quality. Injury to the cornea can occur because of chemical burns, mechanical trauma, or infection by viruses, bacteria, fungi, or protozoa. The herpes virus produces one of the more common infections leading to corneal transplant. Corneal transplants are used only when damage to the cornea is too severe to be treated with corrective lenses. Occasionally, corneal transplant is combined with other eye surgery such as cataract surgery to solve multiple eye problems with one procedure. Vitreo-retinal Surgery: Vitreo-retinal surgery does not refer to one specific type of surgery. It refers to any surgical procedure that treats eye problems involving the retina, macula, and vitreous fluid. These vision disorders include macular degeneration, retinal detachment, and diabetic retinopathy. The retina is a tissue in the inner eye. It converts images that one sees into electric impulses that the brain can interpret. The macula is part of the retina that helps process central vision. Vitreous fluid fills the eyeball and helps it maintain its shape. Vitreoretinal surgery can treat a detached retina, which happens due to a retinal tear. Symptoms of retinal detachment may include flashes of light and spots that obstruct vision. Retinal detachment can occur due to an injury. It may also occur when the vitreous fluid pulls on the retina. For a Vitreo-retinal, the patient may be placed under general anesthesia. Vasectomies typically are highly successful in restoring or greatly improving a patient’s vision. Laser surgery: Laser surgery is surgery using a laser to cut tissue instead of a scalpel. Examples include the use of a laser scalpel in otherwise conventional surgery, and soft tissue laser surgery, in which the laser beam vaporizes soft tissue with high water content. Laser resurfacing is a technique in which molecular bonds of a material are dissolved by a laser. Laser surgery is commonly used on the eye. Techniques used include LASIK, which is used to correct near- and far-sightedness in vision, and photorefractive keratectomy, a procedure which permanently reshapes the cornea using an Excimer laser to remove a small amount of tissue. Green laser surgery is used for the treatment/reduction of enlarged prostates. Laser surgery is much safer than normal surgery as it makes no physical contact so no infections are spread. Laser surgery is used not only for eye surgery but also in many other streams. Oculoplastic surgery: Oculoplastic surgery is the cosmetic, corrective, and reconstructive surgery of the eye. It manages and repairs problems primarily related to the tissues or structures surrounding the eye, rather than the eyeball itself. These structures include the eyelids, the tear ducts, and the orbit (bony socket surrounding the eye). Ophthalmic plastic surgeons are board-certified ophthalmologists who have completed several years of additional, highly specialized training in plastic surgery. The person who performs oculoplastic surgery is called an oculoplastic surgeon. Oculoplastic surgeons complete the necessary schooling to become ophthalmologists, or medical doctors who treat eye-related conditions, but then go on to receive additional specialty training in plastic surgery. An oculoplastic surgeon is qualified to work on both the eye itself and its surrounding tissues. He focuses, however, on the tissues that surround and support the eyeball. Sometimes oculoplastic surgery is used to repair or correct a condition that affects the area around the eye. For example, a condition called entropion is marked by an eyelid that turns inward. Eye muscle surgery: Eye muscle surgery is performed to weaken, strengthen, or reposition any of the extraocular muscles (small muscles) located on the surface of the eye that move the eyeball in all directions. The main purpose of eye muscle surgery is thus to restore straight eye alignment. The surgery is performed to align both eyes so that they gaze in the same direction and move together as a team; to improve appearance; and to promote the development of binocular vision in a young child. To achieve binocular vision, the eyes must align so that the location of the image on the retina of one eye corresponds to the location of the image on the retina of the other eye. In addition to being used to correct strabismus, eye muscle surgery is also performed to treat such other eye disorders as Nystagmus. Nystagmus is a condition in which one or both eyes move rapidly or oscillate; this condition can be improved by moving the eyes to the position of least oscillation. Preparing for the surgery: Each eye surgery procedure and each eye surgery patient is unique. Despite the uniqueness of each procedure, there are a number of universal tips that can help you better prepare for your surgery and speed up your recovery time. So here are the tips to help make your eye surgery procedure a successful one: Take the extra time you need to find a reputable surgeon with extensive experience in your type of surgery. Thoroughly research the procedure you will be undergoing before signing any consent forms. Follow all of the pre-operative procedures recommended by your doctor. Stop wearing contact lenses in advance of the surgery, as directed by your doctor. Get a good night’s sleep the night before the surgery. Make arrangements to have someone you trust drive you home from the surgery. Know what side-effects you may experience before undergoing the procedure. Take all medication as prescribed. Avoid touching, rubbing, or bumping your eye while it is healing. Avoid makeup, lotions, and creams while your eye is healing. Stay away from medications that can interfere with your body’s natural healing process, such as steroids. Give yourself time to recover from the surgery before jumping back into your busy life. Post operative care- Eye surgery: Here are few precautions you need to follow for at least 1 week post-surgery. Try and avoid lifting heavy articles more than 20 pounds. Avoid bending your waist unless you are bending your knees. Avoid swimming. Avoid laborious physical activities like jogging or aerobics. Excessive neck movements should be avoided. While sleeping remember, that your head should be raised higher than your chest. Advance Eye surgery: LASIK Eye surgery: LASIK stands for laser in situ keratomileusis, which means using a laser underneath a corneal flap (in situ) to reshape the cornea (keratomileusis). This procedure utilizes a highly specialized laser (Excimer laser) designed to treat refractive errors, improve vision, and reduce or eliminate the need for glasses or contact lenses. During the LASIK procedure, a specially trained eye surgeon first creates a precise, thin hinged corneal flap using a microkeratome. The surgeon then pulls back the flap to expose the underlying corneal tissue, and then the Excimer laser ablates (reshapes) the cornea in a unique pre-specified pattern for each patient. The flap is then gently repositioned onto the underlying cornea without sutures. Why Eye surgery in India: With the best of eye surgeons, the latest and highly sophisticated medical equipments and other facilities, India definitely makes for the best choice when it comes to eye care. With an annual increment rate of about 15%, the number of medical tourists in India is on a rise. Indian Government is soon going to introduce special medical visas for foreign tourists that will be helpful for those coming to India for ophthalmic care and other treatments. This visa will enable international patients to have access to finest medical care in the most recognized and specialized hospitals of the country. India offers a growing number of private "centers of excellence" where the quality of care is as good as that of big-city hospitals abroad (for instance in the United States or Europe) and that are capable of delivering world class medical services at a remarkably lower cost. The health care industry estimates that several thousand foreign patients are treated in private hospitals in India each year. Patients can avoid lengthy waiting periods and high costs by choosing India as a destination for their treatment. The various eye surgeries in India are available at hospitals in the following cities with latest amenities and state-of- art-facilities. Mumbai Hyderabad Kerala Delhi Pune Goa Bangalore Nagpur Jaipur Chennai Gurgaon Chandigarh The compassion shown by the Indian Ophthalmologists along with evidence based and innovative eye surgeries, comprehensive education and research-based prevention of common eye diseases – have earned Indian hospitals the gratitude of patients and their families. Eye surgery cost in India: India offers outstanding eye surgical services at 60-80% less than prevailing USA rates. Even with travel expenses taken into account, the comprehensive medical tourism packages still provide a savings measured in the thousands of dollars for major procedures. Medical Treatment Procedure Cost (US$) United States India LASIK Eye surgery 9,000 1,000 Catarct Surgery 4,000 1,000 Some of the common countries from which patients travel to India for surgery are: USA UK Canada Australia New Zealand Nigeria Kenya Ethiopia Uganda Tanzania Zambia Congo Sri Lanka Bangladesh Pakistan Afghanistan Nepal Uzbekhistan ABOUT INDIA Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service. Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start exploring this great city. Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in the world. Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving. Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as one of the most charming cities in India, Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra. Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet. Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors. Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism. Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India. Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery. Patients Testimonial: Annette, UK Eye Surgery in India I am Annette, I am from the England and I came for my cosmetic eyelid surgery in India through indianhealthguru. I was thinking of having Cosmetic eye lid surgery from a long time but I wanted a reasonable source for getting it done. I came to know about indianhealthguru through a friend of mine and she gave me the website . I left my details on the website and I got reply from the company and from Dr. Bojwani.Then there were couple of calls here and there and I got my surgery booked in the best hospital in Delhi India.After a weeks time I was in Delhi. And believe me the hospital was indeed the best cosmetic eyelid surgery hospital in Delhi India.The staff of the hospital was very much helpful and caring. The surgeon was very nice he told me everything before my surgery. I am very happy with the result after my surgery in the best cosmetic eye lid surgery hospital in Delhi India Mr. Okeke, Nigeria Cataract and Eyelid Surgery I am Mr.Okeke from Nigeria sharing my beautiful experience with Indian Healthguru Group for getting my Laser cataract surgery done in India. I am very much thankful to Indian Healthguru Group for its service which enabled me to get back my vision. I was suffering a lot because of the cataract development in my eyees. I could no longer read price tags and there were many times when I thought I had bagged a bargain only to find, when I went to pay, there was an extra nought on the end and I was too embarrassed not to buy it! Supermarket shopping was hell; I could never read the weights or check ingredients. Many times I had to buy a pair of the store's reading glasses to do my shopping! My family would laugh at me because I had a pair of glasses in every room, so I could check a recipe or the oven temperature, to check the times of my favourite programmes! Worst of all, being keen on going to the gym, I could no longer read the instructions or set up the programme I wanted. Then I visited my doctor who further confirmed the need of Laser cataract surgery. And he advised me to get it done in India as many of his patients had their treatment in India and they were absolutely fine post treatment. The doctor also suggested me some of the names of medical tourism company in India. After some research I decided to get my Laser cataract surgery in India done through Indian Healthguru Group. They assisted me for all the arrangements from travel till my cataract surgery was done and provided everything I needed. I would like to really appreciate Indian Healthguru Group for providing me such a nice service away from my home country. The assistants made everything for me that I required during my stay, during laser cataract surgery and post surgery. And now my life has changed a lot. Now I am living a normal life as before without any complication. Sincer Thanks to All! Knee Replacement Surgery in India Knee replacement surgery also known as knee arthroplasty is procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. The procedure has been proven to help individuals return back to moderately challenging activities such as golf, bicycling, and swimming. Total knees are not designed for jogging, or sports like tennis and skiing (although there certainly are people with total knee replacements that participate in such sports). Knee replacement is a routine surgery performed on over 600,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience an improvement in knee pain and function. Knee Replacement Surgery Candidates A person would be considered a candidate for knee replacement if there is: • Daily pain • The pain is severe enough to restrict work, recreation and ordinary activities of daily living • Significant stiffness in the knee • Significant instability (constant giving way) of the knee • Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee • Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis Success Rate of Knee Replacement Surgery: Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans back on their feet and allowed them to enjoy their golden years. Knee Replacement Surgery Preparations: • If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery. • If you drink, don't have any alcohol for at least 48 hours before surgery. • Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to strengthen your upper body will help you cope with crutches or a walker after surgery. • Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery. This examination will assess your health and your risk for anesthesia. The results of this examination should be forwarded to your orthopaedic surgeon, along with a surgical clearance. • Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and answer any last-minute questions. • You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray. • Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to stop taking certain medications or your surgeon may recommend substitute medications until your surgery. Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.