Presbyopia Treatment in India
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What is Presbyopia?
Presbyopia is an age-related eye condition in which the eye’s natural lens gradually becomes less flexible, making it harder to focus on nearby objects. It typically becomes noticeable after age 40.
What is the Importance of Timely Treatment?
Timely correction can improve near vision, reduce eye strain and headaches, and make everyday activities such as reading, using a phone, or working on a computer easier.
What are the common symptoms of presbyopia?
- Blurry near vision
- Eye strain and fatigue
- Headache
- Difficulty in reading small print
- Difficulty in focusing
- Need for bright light while reading
Causes and Risk Factors of Presbyopia
Causes
- Natural aging: The eye’s natural lens gradually loses flexibility with age, making it harder to focus on nearby objects.
- Reduced focusing ability: The muscles that change the lens’s shape become less effective over time.
Risk Factors
- Increasing age
- Eye trauma or previous eye injury
- Certain medical conditions like diabetes, multiple sclerosis, and cardiovascular disease increase risk.
- Certain Medications: Certain drugs, such as antihistamines, antidepressants, and diuretics, can cause near-vision difficulties
Latest Research and Technologies in the Treatment of Presbyopia in India
- In India, newer presbyopia treatments include trifocal and extended-depth-of-focus intraocular lenses, advanced lens-exchange procedures, and prescription eye drops being studied to improve near vision temporarily. Researchers are also exploring drug combinations and treatments that may improve the eye’s ability to focus while reducing side effects such as glare and halos.
Treatment options for Presbyopia
Laser Refractive Procedures: A laser reshapes the cornea so that one eye is optimised for distance vision and the other for near vision. This reduces dependence on reading glasses. A contact-lens trial is often used beforehand to check whether the patient can adapt to monovision.
Refractive Lens Exchange (RLE): The eye’s natural lens is surgically removed and replaced with an artificial intraocular lens (IOL). A multifocal, trifocal, or EDOF IOL can provide distance and near vision and reduce reliance on glasses.
- Clinical assessment:
- Visual clarity test: Checks the distance and near vision using eye charts.
- Refraction test: It is used to check the power of the glasses or contact lenses
- Slit-lamp examination: Used to examine the cornea, lens, and other front structures of the eye.
- Pupil assessment: Checks pupil size and response, which may help assess suitability for certain treatments.
- Imaging Tests:
- Corneal topography/tomography: This test checks the shape and curvature of the cornea, particularly before refractive surgery.
- Anterior-segment OCT: This test provides detailed images of the cornea, anterior chamber, and lens when additional structural assessment is needed.
- Ocular biometry: This measures eye dimensions before planning lens-based surgery such as refractive lens exchange.
- Medicines do not directly treat presbyopia; however, supportive therapy can help, such as miotic eye drops, which temporarily constrict the pupil to improve near vision. Medications may manage symptoms but do not reverse age-related changes in the eye and should be taken only on a doctor's recommendation.
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Hospitals for Presbyopia in India
Fortis Memorial Research Institute
Gurgaon, India
Fortis Healthcare Limited stands as one of India's largest integrated healthcare providers, managing 33 hospitals across 11 states and operating more than 5,700 beds and 400 diagnostic labs. Four of our hospitals are accredited by JCI and 26 by NABH. With a workforce of over 12,500 healthcare professionals, we combine clinical excellence, a patient-focused approach, and innovation to provide high-quality, affordable, and compassionate healthcare to patients in India.
Max Super Speciality Hospital, Saket
Delhi, India
Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.
Manipal Hospital, Hebbal
Bangalore, India
Manipal Hospitals, a group of Manipal Education Medical Group, is India’s leading multi-speciality network, comprising over 650 beds. Dedicated to clinical excellence, patient-centric care and ethical practices, it provides sophisticated diagnostics, surgery and home care services to both domestic and international patients, while also improving access to affordable healthcare for underprivileged communities.
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