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About Dr Anand Shroff, MD, FICS
Expertise
I am happy to answer any questions on eye care. My expertise is in Laser Eye surgery (LASIK, Epi LASIK), Multifocal Implants, Cataract, Glaucoma and procedures for Corneal abnormalities like Keratoconus - Corneal Collagen Crosslinking C3R

Experience
OF LASIK, We are one of the first centres to use the wavefront guided LASIK or custom LASIK procedures and the only center in India using the most safest,accurate and fastest excimer laser in the world- 'The Wavelight Concerto, 500 Hz laser'. Doctors from various parts of the world train with me and few other experts in Germany each year on our wavefront procedures. Our centre is the first eye hospital to be awarded the highest certfication in healthcare- the Joint Commission International (JCI from USA) and is also the referral centre for our Wavelight Laser Technologies, Germany in India. We have treated patients from 89 countries and this list keeps growing as more and more patients are getting increasingly aware of the benefits of treatment with advanced technology in laser eye surgery.

Organizations
ASCRS [American Society of Cataract and Refractive Surgery]certified by USA- Joint Commission International

Publications
http://www.shroffeye.org

Education/Credentials
MD Ophthalmology and FICS [Fellow of the International College of Surgeons]

Awards and Honors
please see http://www.shroffeye.org and www.lasikindia.in

 
   

You are here:  Experts > Health/Fitness > Blindness/Visual Impairment > Laser Eye Surgery > Glucoma surgery

Laser Eye Surgery - Glucoma surgery


Expert: Dr Anand Shroff, MD, FICS - 6/19/2008

Question
QUESTION: My mom , aged 70 yrs is suffering from glucoma , diabetes & hypertenssion. Though she is using drops for the eyes, her eyesight is weakening day by day . Is there any surgical process through which her vision can be restored ? i am very worried , pls help . I have consulted many doctors but of no help , if necessary i can provide with her prescription details . Thanks in advance .

ANSWER: Dear Pradeep,

Your mother does have eye problems which need to be managed by specialists.

Yes, an eye report would help.

Glaucoma can be controlled well with eye drops, but if any vision has already been lost due to Optic nerve damage, then this loss is not reversible.

Also, diabetes if not in control can damage the retina again resulting in visual loss.

An eye report outlining her retinal condition and other tests can help me suggest better.

Regards,
Dr Anand Shroff, MS (OPHTH), FICS
www.shroffeye.org

---------- FOLLOW-UP ----------

QUESTION: Sir,
At present my mom is using LATIM & DORTAS eye drops twice a day as prescribed.I dont know whether this will help or no,the report of her eye as given :Humphrey Perimetry Report
Clinical diagonosis : cataracts , glucoma,thinning of NRR R>L
Occular Medication : Xalatan Eye Drops
Intraocullar Pressure: 34mmHg Applanation 44mmHg 10/5/07
                      46mmHg Applanation 56mmHg 15/6/07
Vision with Glasses : 6/18p
Patients Prescription :   +1.25DS -3.00DC80
                     ADD +3.00DS
Len's correction      :   +4.50DS  -3.00DC 80
Reliability :  Poor, FL 12/20
Foveal Threshhold  :  29dB
Greyscale at a glance : At a glance Centrocaecal scotoma Nasal depression
Toatal Deviation : Overall depression compared to age related normalis Centrocaecal scotoma Nasal Depression
Pattern Deviation : Exposes localised defects masked by generalized depression Centrocaecal scotoma Nasal depression
Global Indices :
Mean Deviation below  average normal for age below -4.26dB p<1%
pattern standard deviation : Localised irregularities 7.82 dB p <0.5%
Glaucoma Hemified test : Outside Normal limits
Actual Thresh hold Values : Moderate , low near fixation
Impression : Right Eye : Perimetry not possible
Left Eye : Centrocaecal loss not typical of glucoma , Nasal depression - glaucomatous
I have tried to replicate the report , please bear with me and suggest if anything is possible  she cannot see at all anything now and is struggling very badly with her daily activities. Thanks foer the time alloted to read this and many more if there is any hope in your learned view.

Answer
Dear Pradeep,
As I understand, the report of the visual functions was done when your mother could see better than today. I would not be able to guide you unless I know the recent turn of events in the eyes as of today. Please get an eye specilist to examine her and send me the findings. Else, free to visit us in Mumbai.

Regards,
Dr Shroff
www.shroffeye.org

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