Experience of Customized Lasik Refractive Surgery in India at SuVi Eye Institiute Kota Rajasthan India

We are pleased to share a video testimonial ofone of the patient who discusess her experience of undergoing AMO VISX CustomVue Wavefront-guided lasik aser treatment done on September 20, 2011performed at SuVi Eye Institute Kota India (link http://www.youtube.com/watch?v=jabRN8rgHtU).  The Lasik Refractive Eye Surgery was performed for myopia of minus 4.5 diopters by Dr Vidushi Sharma & Dr Suresh K Pandey at SuVi Eye Institute & Lasik Laser Center, Kota, Rajasthan, India ( E-mail- suvieye@gmail.com, www.suvieye.com). Installed as the first Visx Lasik machine in the state of Rajasthan, India, the AMO STAR S4 IR™ Excimer Laser System is designed to bring Advanced CustomVue™ laser vision correction to life. The VISX STAR platform's heritage of dependability and performance is well known. The STAR S4 IR from VISX has taken that reputation to an even higher level. The AMO Visx latest excimer laser system represents the most advanced laser technology platform available today. Integrating data collected by the WaveScan WaveFront System, the STAR S4 IR utilizes these exclusive VISX technologies to deliver precision custom ablations:
•Iris Registration (IR): The first FDA-approved, fully automated, non-contact method of alignment of the correct CustomVue treatment to the corneal site
•Variable Spot Scanning (VSS): Variable beam sizes from as small as 0.65 mm up to 6.5 mm scanned over the treatment area, conserving tissue and optimizing treatment times
•Variable Repetition Rate (VRR): VRR delivers treatment at varying repetition rates, optimizing treatment time
•ActiveTrak 3-D Active Eye Tracking: Captures all 3 dimensions of intra-operative eye movements—no dilation required
•ActiveTrak Automatic Centering: Locates, and then automatically sets the treatment center to the ­center of the pupil.
For further information:
Dr. Vidushi Sharma & Dr Suresh K Pandey can be reached at Suvi Eye Institute and Research Center, VISX™ Advanced CustomVue™ Lasik Laser Center, C 13 Talwandi, Kota, Rajasthan, India; Phone +91 (744) 2433575; +91 9351412449; E-mail- suvieye@gmail.com, www.suvieye.com
Dr. Suresh Pandey's surgical video can be viewed at http://www.youtube.com/user/Drsureshkpandey

http://www.youtube.com/user/Drsureshkpandey#p/u/0/iKYTAwGW8FI

In this video, one of the patient discusses his experience of piggyback IOL implantation for correction of high myopia performed at SuVi Eye Institute & Lasik Laser Center, Kota, India (www.suvieye.com). Options for appropriate piggyback IOLs are limited to the correction of residual spherical error. Presently available piggyback styles include aspheric, toric and multifocal lenses. Appropriate power calculation for piggyback IOLs is based simply on residual refractive error and can achieve highly accurate outcomes. Complications of piggybacking can be avoided with proper preoperative planning and IOL selection. Complications include interlenticular opacification, pigment dispersion, iridocyclitis, glaucoma and hyphema.

The most popular piggyback IOL is the AQ5010 (STAAR Surgical, Monrovia, CA) because of its round edge, 6.3 mm optic and 13.5 mm overall diameter, other IOLs include AMO SI 40 IOL, or Clariflex IOL.

The Sulcoflex IOL (Rayner, Ltd., Hove, England) is designed for implantation as a piggyback IOL in the ciliary sulcus of the pseudophakic eye. It is a single-piece hydrophilic acrylic IOL that can be inserted through a 3.0 mm incision. The 6.5 mm optic and haptic edges are round. The haptic is angulated and has an undulated design to preclude rotation. A spherical monofocal version of the Sulcoflex has been implanted in the ciliary sulcus of pseudophakic eyes to correct residual ametropia. Toric, multifocal and aspheric versions of the IOL are also available to correct residual astigmatism, permit presbyopia correction and reduce HOAs in pseudophakic eyes.

Multiple peer-reviewed publications have demonstrated the effectiveness of both primary (at the same time as the initial surgey) and secondary (delayed) placement of piggyback IOLs. Akaishi et al have described placing a silicone piggyback IOL in the sulcus to enhance correction with the Tecnis multifocal (AMO, Santa Ana, CA)3 and the ReSTOR (Alcon Surgical, Ft. Worth, TX);4 recently Jin et al demonstrated correction of residual astigmatism with placement of a toric IOL in the sulcus using an obliquely crossed cylinder technique. Alfonso et al have described placing diffractive multifocal IOLs in the sulcus to provide pseudoaccommodation,and Boisvert et al have developed a Pediatric Piggyback IOL Calculator to facilitate the strategy of temporary polypseudophakia in children to reduce the amount of myopic shift by removing the anterior IOL when the eye become sufficiently myopic.

Despite enthusiasm for piggyback IOLs, surgeons should remain cognizant of potential complications. Interlenticular opacification (ILO) has been reported with the implantation of two acrylic IOLs in the capsular bag; in general, the use of a silicone piggyback IOL placed in the sulcus is recommended to prevent the development of ILO. Pigment dispersion and pigmentary glaucoma have been reported with placement of IOLs with sharp anterior optic edges in the ciliary sulcus, hence the requirement of rounded anterior optic edges for piggyback IOLs. An unusual complication of piggyback IOL insertion is posterior capsule rupture. I

In summary, piggyback IOLs achieve excellent results and probably represent the best choice for correction of residual spherical ametropia in eyes with a history of prior radial keratotomy and eyes with ocular surface disease or suspicious corneal topography which are not good candidates for LASIK or PRK. When an astigmatic component is present and the eye is otherwise healthy, however, corneal refractive procedures offer an unexcelled degree of accuracy and precision in a cost-effective manner.

Protect your eye from Fire Cracker during Diwali Festival by Dr Suresh K Pandey, Suvi Eye Institute Kota India

PROTECT YOUR EYE FROM FIRECRACKER INJURY DURING DIWALI FESTIVAL Posted by Dr Suresh K Pandey, Dr Vidushi Sharma Suvi Eye Institute, C 13 Talwandi, Kota, India (http://www.suvieye.com/) Phone +91 744 2433575, 3292721We should celebrate Diwali Festival (the festival of light) while protecting our eyes from Fire Crackers.

Eye Trauma from Fireworks      The use of fireworks by non-professionals leads to a significant number of injuries each year, many of which go unreported. The "legal" status of amateur fireworks varies from state to state, but certain types of fireworks are clearly more dangerous than others. Nevertheless, even sparklers, which are often dismissed as having minimal risk, burn at 1800 degrees (hot enough to melt gold).  Sparklers accounted for 10% of reported injuries in 1997. Firecracker use accounted for 32% of the injuries reported (with 42% of the injuries associated with nationally illegal firecrackers).  Sky rockets, or bottle rockets, accounted for 15% of the injuries.  These are largely eye injuries, with bottle rockets accounting for most of the 2000 eye injuries per year associated with fireworks usage. Fireworks Injuries by Type of Device The U.S. Consumer Product Safety Commission (CPSC), through the National Electronic Injury Surveillance System (NEISS), collects data on injuries associated with consumer products, including fireworks. The data indicate which consumer product was associated with a particular injury, but do not mean that the product necessarily caused the injury. For 1997, there were an estimated 8,300 fireworks-related injuries. The breakdown, by type of device, for the estimated injuries during the peak holiday season (June 23 to July 23, 1997) is:   Fireworks Device % of Estimated Injuries Firecrackers1 32% Sky Rockets 15% Sparklers 10% Fountains 7% Spinners and Novelties 5% Roman Candles 4% Reloadable Mortars 3% Public Displays 3% Repeating Mines and Shells 1% Homemade Devices 1% Smoke Devices 1% Helicopters 1% Miscellaneous 2% Unknown 15% TOTAL 100% -------------------------------------- 1. Illegal firecrackers represent 42% of all firecracker injuries. Fireworks Eye Injuries Injuries to the eye from fireworks, most commonly bottle rockets, can be devastating: ·         Approximately 2000 eye injuries occur each year from consumer fireworks use. ·         About one-third of these injuries result in permanent eye damage and one-fourth in permanent vision loss or blindness. ·         Almost one in twenty fireworks-related eye injury victims lose all useful vision or require removal of the eye. ·         Data from the United States Eye Injury Registry shows that bystanders are more often injured by fireworks than operators themselves. ·         44 percent of the injured are children ages 19 years old and under. ·         72 percent of the victims were male.  Prevent Blindness America warns that there is no safe way for non-professionals to use fireworks. It is only safe to enjoy the splendor and excitement of fireworks at a professional display. While most injuries occur with legal fireworks, some states are debating legalizing an even broader range of fireworks. Heavy lobbying by the fireworks industry, promising more tax revenue through fireworks sales, may result in an increase in fireworks-related injuries. The single most dangerous type of firework is the bottle rocket, which flies erratically and causes bystander injury.  The bottles and cans used to launch them often explode, showering fragments of glass and metal. From 1980-1994, fireworks accounted for 29 fires, 65 explosions and 114 deaths. The victims of these accidents ranged in ages from 4 months to 88 years old. Ocular Trauma from Fireworks Eye injuries from fireworks and especially bottle rockets can be severe, with total loss of vision possible. This following photographs represent possible external eye injuries from fireworks. Internal eye injuries can also occur, easily leading to loss of vision through blunt trauma. Retinal injury can lead to an immediate loss of vision. Cataract and glaucoma can be long term problems. Remember, children bystanders are the most frequently injured.     Examples of the Types of Injuries Possible with Direct Trauma from a Projectile type of Firework Blood on Ocular Surface Traumatic Eyelid Laceration     Torn Iris Blood Layering out in Front Part of Eye (Hyphema)     Rupture of Cornea with Iris Prolapsing Out Rupture of Cornea with Iris Prolapsing Out     Eye safety with fireworks Attending a public fireworks display on the Fourth of July is a safe and patriotic way to honor out tradition of independence, our shared values, and our hopes for a healthy future. Professional displays rarely lead to injury. If an accident does occur during a non-professional display, what can you do right away to minimize the damage to the eye.  These eight action can help save your child's sight.   ·         Do not delay medical attention even for seemingly mild injuries. "Mildly" damaged areas can worsen and end in serious vision loss, even blindness, that might not have happened if treatment had occurred immediately. ·         Stay calm, do not panic; keep the child as calm as possible. ·         Do not rub the eye. If any eye tissue is torn, rubbing might push out the eye's contents and cause more damage. Trying to rub the eye is an automatic response to pain, but pressure will only do more harm. Take the child's hand from his or her face. ·         Do not attempt to rinse out the eye. This can be even more damaging than rubbing. ·         Shield the eye from pressure. Tape or secure the bottom of a foam cup, milk carton or similar shield against the bones surrounding the eye: brow, cheek and bridge of the nose. ·         Avoid giving aspirin or ibuprofen (or other non-steroidal anti-inflammatory drugs, called "N-SAIDS") to try to reduce the pain. They thin the blood and might increase bleeding. Acetaminophen is the over-the-counter drug of choice. Unfortunately, non-prescription painkillers will not be of much help. It is better to by-pass the drugstore or medicine cabinet and get to the emergency room right away. ·         Do not apply ointment or any medication. It is probably not sterile. Also, ointments make the eye area slippery. This could slow the doctor's examination at a time when every second counts. ·         Above all, do not let your child play with fireworks.  If you must attend a non-professional fireworks display, have all present wear safety goggles (which may not prevent all injuries). Regular glasses will not prevent injury, and may break or shatter if impacted by flying debris.  Again, the best option is to attend a professional fireworks display.