I wasn’t a natural at being a doctor and struggled a little bit in medical school. Medical school was sometimes confusing and intimidating. I picked up empathy along the way and learnt to be compassionate to other people. I found out that I loved the difference that I bought to others and got better at doing my job. A lot of what I love about my job today, I discovered while being a doctor. If I hadn’t taken up medicine I would have never found out how much I would enjoy it.
WITH EYES WIDE OPEN
Since the fall and break-up of the Soviet Union, Mongolia's healthcare has emerged as a free-market healthcare model. It has been struggling to transition from a state-run public healthcare to free market private healthcare enterprise. They have very eager doctors but have been lacking in training & mentorship. The present generation of ophthalmologists are breaking the mould. They have been travelling to other countries to gain expertise and returning to their home country to provide service. They have a genuine thirst for international interaction and collaboration.
Treat the disease and not the symptom
RG Kar Medical College is a 138 year old institution with a rich history and several eminent alumni. It is present within in a sprawling 26 acre campus in the heart of the city of Kolkata. Yet, it required the brutal rape and murder of a doctor there in the midst of a busy bustling hospital for everyone to know that there is no female duty doctor's room within the emergency building.
How do you correct hereditary acquired droopy eyelids?
Chronic progressive external ophthalmoplegia (CPEO) describes an spectrum of hereditary myopathies affecting extraocular muscles (EOMs) commonly manifesting as bilateral ptosis and near total external ophthalmoplegia. As the name suggests, it is a chronic, progressive, bilateral, typically symmetric, and external (i.e., spares the pupil) ophthalmoplegia. CPEO is associated with mitochondrial disease and can occur as isolated oculomotor symptoms (isolated CPEO) or in conjunction with other systemic findings (“CPEO-plus”). Depending on additional clinical features, CPEO can be evaluated as part of a systemic myopathic or neurologic syndrome
Customised Implants : Precision Surgery
Patient Specific Implant (PSI) have revolutionised the treatment of secondary orbital reconstructions. The above picture red broken line shows level of the eye balls before and after secondary reconstruction of left orbit with a PSI. This young man suffered from a Road traffic accident about a year back before he come to see us. HeContinue reading "Customised Implants : Precision Surgery"
It seems like Magic but it’s NOT!
Ocular Surface Squamous Neoplasia (OSSN) is a spectrum of pre-cancerous and cancerous lesions of the conjunctival epithelium (transparent coat covering the surface of the eye). This condition can be diagnosed clinically and if promptly treated can achieve complete cure.
Happy tears!
A #Customized ocular prosthesis (prosthetic eye) 👁️ surgery is considered when we have to remove an #eye due to one of the following reasons: 1. Eye Cancer (for example Retinoblastoma in children) 2. Irreparable eye injury due to trauma (children & adults) 3. Cosmetically disfigured eyeball with no hope of visual rehabilitation and which may or may not be painful.
Eyes don’t see what the mind doesn’t know!
It is not often that an eye surgeon is able to awe a room full of medical students and residents in a busy Ophthalmology clinic. So I'll take this opportunity to write the story about this this extra-ordinary accomplishment.
Catching the Moving Lid!
Ocular Myasthenia Gravis (OMG) is one of the conditions that an oculoplastic surgeon can correct without surgery or any invasive intervention. It is a very satisfying to treat a patient of OMG provided the diagnosis is accurate. It has the rare distinction of being both under-diagnosed and over-investigated in different settings. Clinical examination is the cornerstone of a diagnosis of OMG. The various fancy but expensive testing can only corroborate a strong clinical suspicion
Don’t Let the Dog have it’s Day!
Stay dogs can be an important cause of trauma in India. It is especially more common in small kids who are about the size of a grown up dog or smaller. It is advisable to keep kids away from exposure to stray dogs on the streets which can get suddenly violent if they perceive the kid as a threat. Dogs are great and cute creatures but can be dangerous to kids in certain circumstances.
Dangers Lurking Around the Eye
Eye is surrounded by the Para-nasal sinuses. In children, the sinuses are small and they increase in size as the child grows. Children are vulnerable to sinus infections as a consequence of upper respiratory tract infections reducing the ciliary clearance from the sinuses and fluid stasis. Sinus infections in turn can be dangerous to the eyes as the distance between sinuses and eye is very small in children especially the medial walls of the orbits which is paper thin aptly named- lamina paprycea.
DR. RAGHURAJ HEGDE 