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25/Mar/2020

Emergency eye care

The eye is the most sensitive organ in the body that is exposed to the outside world. Though it is protected from all sides by a bony box known as the orbit of the eye, front of the eye is open to the outside world and hence vulnerable to injury.

Road traffic accidents are one of the most common ways that an eye can get injured. It is always advisable to use safety measures like the use of helmet on two-wheelers and seat belts in cars.
In cases where these measures are not used, the eye can get seriously injured. The video shows one such case or a young individual who had fall from two-wheelers. His glasses had broken and one-piece went in back of the eye known as Vitreous cavity. He had undergone suturing of the corneal injury 2-3 weeks before retinal surgery.

During the retinal surgery very thick vitreous hemorrhage can be seen. This hemorrhage is cleared and glass piece stuck inside removed. Glass foreign bodies inside the eye are very difficult to remove since they are slippery and can’t be firmly held with devices available. The video demonstrates the use of claw forceps which were extensively used to remove pellets from the eyes of victims in Kashmir after the 2016 unrest.

This has been developed by Dr. Maneesh Bapaye of Dr. Bapaye Hospital and it can be used to remove objects such as glass pieces or stones or shotgun pellets. At the end of surgery intraocular lens was implanted by scleral fixation technique. A very severe injury is treated successfully with a single surgery


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09/Mar/2020

Holi and Rangpanchami are festivals of colour. They signify the end of the cold winter and welcome warmth and gaiety. However, it is upto us to take care that this festive mood is not spoilt by eye injuries caused by colour going into the eye.

 The first type is a mechanical one, due to physical trauma (by hand/finger nails). It could range from a superficial corneal (outer transperant portion of the eye) abrasion, to a large corneal epithelial defect. This causes watering, pain and light sensitivity. It needs to be treated as soon as possible, or else the defect can get infected, leading to permanent scarring and vision loss.
Water balloons hitting the eyes forcefully can also cause blunt trauma and bleeding inside the eye and other dangerous and long lasting damage like formation of cataract with dislocation of crystalline lens, glaucoma, vitreous hemorrhage or even retinal detachment. An eye with severe injury from water balloon may permanently lose vision.
Secondly, the colour could cause allergic reactions to the outer portion of the eye and eye lids (conjunctivitis and dermatitis). These cause itching, redness and swelling.
The third category is of a more serious nature and that is deep chemical burns. Natural colours, made from flower extracts, are not so harmful to the eyes. But chemical colours are also widely used. The colours contain lead oxide, copper sulphate, heavy metals and acids and alkalis. Alkalis, are most harmful and they cause destruction of corneal regenerating cells, causing permanent scarring (white discolouration) and even deeper damage and irreversible shrinking of the entire eye.

So it is very essential for everyone to know the precautions to be taken while enjoying the colours of Holi.

1. Use natural chemical-free colours.
2. Use protective eye wear, such as fibre glasses or sunglasses.
3. Avoid use of large water balloons
4. If colour goes into the eye, do not rub the eyes at all.
5. Wash the face and gently open the eye and see for any cuts or bleeding. If this is present, then seek medical aid immediately without any further home intervention.
6. If there are no cuts, but powder/liquid can be seen in the eye, wash it with clean drinking water, by taking water in clean cupped hands and opening and closing the eye several times in the water. Or wash under a gentle stream of tap water. Do not splash water forcefully on the eyes. If lubricating eye drops (tear substitutes) are available, instill them several times. Do not instill any other over-the-counter drops. Do not try to remove any particles or foreign bodies with handkerchiefs or fingers. Reach an eye doctor immediately. A Family physician could help in the immediate aid, but a thorough eye check up under microscope by an Eye specialist is essential.
7. Do not delay medical aid, thinking that the irritation or pain will go off in a while.
These precautions, if taken on time, can be sight saving, and not let the incidence deprive you of the joy of Holi.
Dr. Bapaye Eye Hospital wishes you all a happy, safe and colourful Holi.
Dr. Charuta Bapaye
Dr. Bapaye Eye hospital, Nashik

26/Aug/2019

EYE HOSPITAL IN MAHARASHTRA Dr. Maneesh Bapaye,
Vitreoretinal surgeon at Dr. Bapaye Hospital Presented his original work on development of a surgical instrument known as ‘Aspiration Scraper’ in recently concluded annual meeting of American Society of Retina Specialists at Chicago between 26-30th July 2019. The story was well received by local press media which gave it great coverage.
Dr. Maneesh has received Dr.S. Natarajan award for best paper in Vitreoretinal Surgery session at All India Ophthalmological Conference held at Indore in February 2019.
Dr. Maneesh Bapaye has become first eye surgeon from Maharashtra who has received 2 awards back to back at National level for development of instruments for difficult eye surgeries


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16/Aug/2019

Retinopathy of Prematurity

Retinopathy of Prematurity is a sight threatening disease of children born prematurely. It requires screening of the babies at very young age of 1 month. Examination must continue till the retina is matured completely. Dr. Maneesh Bapaye, has been associated with Neonatal Care Unit at Civil Hospital, Nashik.

He has been visiting every week for screening the babies since August 2016. Since then awareness among doctors and patients has been increasing. Every month number of babies getting screening has been steadily increasing. Yesterday, it was completion of 3 years of this project. Yesterday 29 babies were screened and 1 baby underwent laser treatment, single handed lay by Dr. Maneesh Bapaye.

 


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29/Mar/2019

Removal of intraocular foreign body (IOFB) from the posterior segment of the eye is challenging. In addition to surgical skill, it requires specific instrumentation to grasp and remove the IOFB. Small metallic IOFB can be removed using intraocular rare earth magnets but metallic IOFB larger than 3 mm and nonmetallic IOFBs like shot gun pellets, stones, or large glass fragments require specialized IOFB grasping forceps for removal. We describe the design and case-based clinical applications of a novel IOFB removal forceps, “the claw” that consists of a titanium handle and a 27-mm, 19-G metallic shaft that houses four retractable prongs made of nitinol wire. When completely extended, the prongs measure 14 mm in length and open up to 8–8.5 mm in the widest extent. The four prongs offer a very secure grip without crushing or splintering the IOFB leading to minimal chances of IOFB slippage and inadvertent retinal trauma.


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29/Mar/2019

Dear all,
I will be representing Maharashtra Ophthalmological Society in public awareness program on diabetic retinopathy on Z 24 Taas on Friday at 3.30pm in live TV interview. Please spare a few minutes & do tune in for the program.


EYE HOSPITAL IN NASHIK


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