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Hypertensive retinopathy for general public

Systemic hypertension can affect the eyes especially retina even before the patient gets  other symptoms of systemic hypertension. They are usually at age between 3rd to 4th decade and usually symptoms are severe in accelerated or malignant hypertension.    They come to ophthalmologist with complains of sudden blurring of vision , headache, dizziness.  Hypertension can effect the retina leading to retinopathy, choroid leading to choroidopathy and optic nerve leading to optic neuropathy. Hypertensive retinopathy:     They go through various stages. Initially characterized by severe arteriolar attenuation with presence of intraretinal hemorrage, cotton wool spots in posterior pole usually more than we see in diabetic retinopathy. Microanuerysms are rare than macroaneurysms. They may have macular edema and hard exudates deposition in long term. Hypertensive choroidopathy:    Characterised by presence of liner streaks in mid periphery as seigerts streaks and pigmented lesions ca

Understanding Retinal Detachment for Patients

 Retina is the light sensitive layer in the eye that lines the inside part of the eye and sends visual impulse through optic nerve to brain. Retina sometimes can get detached from  its position and loses its capacity to send visual impulses. There are different types of retinal detachment (RD). 1. Rhegmatogenous RD : Tear/Break in retina allows fluid to get under the retina and lifts it up. This is most commonly seen retinal detachment 2. Tractional RD : Scar tissue over retinal surface contracts and causes retina to seperate. 3. Exudative RD : Frequently caused by retinal inflammatory or noninflammatory disorder causing retina to detach. Risk factors for rhegmatogenous RD:  High myopia Peripheral retinal degenerations like lattice degeneration, snail tract degeneration Family history of RD Post cataract surgery Following eye injury Risk factor for tractional RD: Proliferative diabetic retinopathy Post vein occlusion Retinal vasculitis FEVR Sequelae of ROP

Barrage Laser

  Barrage Laser      Barrage laser is the retinal laser which will be done around weak areas of retina like lattice degeneration or retinal holes or retinal breaks where laser will be given surrounding the lesion like a barrage( Fence) to make surrounding areas stronger adhesion and should not lead to any complications later.     Barrage laser can be done with argon, diode or Double frequency Nd yag Laser with help through slip lamp delivery or indirect ophthalmoscope Indications:   - Lattice degeneration, snail tract degeneration: not all lattice degeneration requires barrage laser.  - Retinal holes - Retinal breaks with detachment - subclinical retinal detachment to prevent further progression - Choroidal coloboma with lifted intercalary membrane Procedure:     laser light will be given to retina like barrage surrounding the lesion completely without leaving spaces unlike in pan retinal photocoagulation for diabetic retinopathy.  What are the aftereffec

Just a Minute

Just A Minute is beautiful program started by LVPEI , where only in one slide you can get many information realted to that topic within a minute. Here is the link for those . These are very helpful practical tips for daily practise. 1.  https://www.youtube.com/watch?v=sZPkbS05Ge4 2.  https://www.youtube.com/watch?v=_PSrSyfzjLI 3.  https://www.youtube.com/watch?v=uY8QZAxp3FE 4. https://www.youtube.com/watch?v=D4f4o_Pe7h8 5.  https://www.youtube.com/watch?v=vtm__r6dzWU 6. https://www.youtube.com/watch?v=v9lNBfvpxkM 7. https://www.youtube.com/watch?v=pJPStBHI8EM 8. https://www.youtube.com/watch?v=A53WhNuJt84 9. https://www.youtube.com/watch?v=7vQKHXcFWJI 10. https://www.youtube.com/watch?v=Lz6xZH18S0w&t=1s 11. https://www.youtube.com/watch?v=oPlAFKBKUpI 12. https://www.youtube.com/watch?v=m9M7pjZ_Y2Q 13. https://www.youtube.com/watch?v=F_y3qgozDfQ 14. https://www.youtube.com/watch?v=Lru4Nte9UOw 15. https://www.youtube.com/watch?v=-mGBv4dgBFA 16. https://www.youtube.

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