Mumbai


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Lasik

Provided by Shroff Eye (Dr Anand Shroff)
Brought to you by Healthbase

(Q) What is Lasik?

LASIK, an acronym for Laser-Assisted in Situ Keratomileusis, is a form of refractive laser eye surgery procedure performed by ophthalmologists intended for correcting myopia, hyperopia, and astigmatism. The procedure is usually a preferred alternative to photorefractive keratectomy, PRK, as it requires less time for full recovery, and the patient experiences less pain overall. Many patients choose LASIK as an alternative to wearing corrective glasses or contact lenses.

Lasik is a method of reshaping the external surface of the eye (the cornea) to correct low, moderate and high degrees of near-sightedness, astigmatism and far-sightedness. The complete eye assessment is required to check the patient’s suitability for Lasik. Tests include refraction, contrast sensitivity, pupil size, pupil reaction, retinal examination, tonometry and pachymetry. Other specialised treatments under the Wavefront technology include the aberrometry, topolyzer measurements, topography and tests for dry eye among others.

(Q) What is the Wavefront 400Hz, technology?

(A) This is the world’s most advanced technology for customised laser corrections and is equipped with a completely computer-controlled laser. This provides the patients the highest level of safety, accuracy and reliability available in laser technology. It is also fully customised to the individual patient’s eye. Moreover, it has the most sensitive eye tracker in the world to ensure accurate treatment with absolutely no side effects or possibilities of errors.

(Q) What is the advantage of this technology over the present laser treatment technology?

(A) This technology is completely foolproof. As it allows patients with a much higher eye power, to be treated and can also correct poorly done laser techniques at the mushrooming ‘discount’ laser centers. This method avoids a number of side effects like glare and poor night vision since it helps remove the higher order errors of the eye (aberrations) unlike regular Lasik treatment, which is solely based on the prescription of glasses. Most doctors are using the 200Hz technology now and the 400 Hz helps us in giving faster treatments besides it being painless and the conditions of the eye is being checked by the instrument itself.

(Q) How does the technology function?

(A) The Wavefront 400Hz technology maps a pupil-sized part of the cornea at 168 individual points through a unique aberrometer. This mapping helps identify the corrections required to compensate for the refractive problems at each of the 168 points of the eye. The cornea is then treated at each of these points by small area laser beams to compensate for the correction making treatment completely error free.

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©2006 Healthbase Online Inc. All rights reserved. | About us
The contents or materials provided in this website are for general information only and are not intended as medical advice.

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Lasik FAQ

Provided by Shroff Eye (Dr. Anand Shroff)
Brought to you by Healthbase

Q: Will I need glasses after LASIK?

A: If thoroughly evaluated and performed in the right candidate with the latest technology, patients who have LASIK do not generally require glasses for most activities. However, patients who are over the age of forty must wear reading glasses after LASIK (if both eyes were corrected for clear distance vision). Some patients will choose “monovision”, in which one eye is corrected for distance and the other eye is corrected for near. Whether you are a candidate for monovision will be determined during your consultation with your doctor.

Q: Can I have both eyes operated upon at the same time?

A: It has been demonstrated in several large, clinical studies that LASIK results and safety are identical whether the procedure is performed on both eyes simultaneously versus one eye at a time. Most patients elect to have both eyes operated upon the same day out of convenience, less time out of work, and avoiding imbalance between the two eyes.

Q: What about the health of my eyes 20 or 30 years from now?

A: LASIK has been performed since 1991 and its safety is established. Twenty year follow-up data are not available. Still, the likelihood of delayed problems is extremely low. LASIK is a variant of lamellar surgery, which has been performed for 50 years, and these patients have not been noted to develop late problems.

Q: What if I move my eye during the laser treatment?

A: While the treatment is performed, you will be asked to look at a light under the laser. You are required to look steadily at the light throughout the operation, since this keeps the eye centred under the laser. However, if you temporarily look away or lose the ability to look at the fixation light, do not be concerned. The WaveLight Allegretto 400 laser is equipped with a special eye tracker that tracks the eye at 400 times a second throughout the procedure.

Q: Any instructions for people who wear contact lenses?

A: Yes, if you wear soft contact lenses, we prefer you to take them out 3 (three) days prior to your initial evaluation in order to obtain an accurate reading for the topography test. For soft or soft toric contact lenses, you need to take them out 7 days prior to the laser procedure. If you wear rigid gas permeable studies show that 3 or more weeks are necessary for the eye to stabilize. In these cases, we try to put our patients on soft disposable lenses for 3 to 4 weeks and then reevaluate after 3 days with no contact lenses.

Q: Can I drive home after the surgery?

A: No, you will need a designated driver! For the first couple of hours your eyes will be sensitive to light and the vision blurred, so you should wear the special dark glasses that we provide.

Q: I have a “lazy” eye; can I still have Lasik to correct myopia?

A: Lazy eye encompasses a wide range of visual problems and levels of visual acuity. The only way to know for sure if you are a candidate for LASIK is to come to the office for a consultation with the doctor for a thorough evaluation to determine if LASIK will help you. Many patients with lazy eye have enjoyed their results following LASIK because they no longer need glasses or contact lenses to achieve their best acuity.

Q: What precautions do I need to take and what activities should I not do after LASIK on my trip?

A: The precautions are fairly simple and would be similar to all irrespective of LASIK done. The fear is of catching an eye infection. The first week after LASIK you will be on eye drops which are antibiotics so that aspect is anyways taken care of. However, some general and basic rules of hygiene such as not rubbing your eyes with unclean hands, carrying a hand sanitizer to keep the hands clean etc helps. We ask you to wear a pair of good UV protecting sunglasses when outdoors to protect your eyes from dust, strong sunlight and allergens. Only swimming underwater is to be avoided for a few days. Those looking forward to enjoy our beaches can swim in the sea or pool, but with swimming goggles for protection.

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©2006 Healthbase Online Inc. All rights reserved.  |  About us
The contents or materials provided in this website are for general information only and are not intended as medical advice

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Eat Smart

By Ms Melissa Aiyathurai-Johnston
Dietitian, Raffles Hospital

Brought to you by Healthbase

 

Food, food, glorious food! Food makes up a big part of our life. Besides providing nutritional benefits, food is also a source of enjoyment, an adventure and it tastes great!

Despite huge and beneficial gains in knowledge about nutrition over recent years, healthy eating has become harder because of the way we live and eat today. There is less reliance on home cooked meals and if we are not mindful, our meals may not be necessarily healthy. They may not be complete (e.g. not being served with enough vegetables) or the portion sizes may be too large.

In addition, the modern diet is usually overloaded with calories for energy compared to the amount we expend, has too much fat (especially saturated fat), sugar and salt and lacking in fruits, vegetables, fibre and dairy products.

This state of “over nutrition” has seen an alarming rise in the incidence of chronic lifestyle diseases. Today 1 out of 3 Singaporeans are overweight or obese which sets the scene for other conditions such as diabetes and heart disease. Excessive fat or salt and the lack of fibre have also been linked with an increase risk of certain cancers (e.g. breast, bowel, stomach), diabetes, stroke, hypertension and osteoporosis to name a few.

There is no secret to healthy eating. You just need to “eat smart”!

Enjoy a wide variety of foods
Add the grains and legumes
Trim the fat

Shake the habit – reduce your salt intake
Munch those fruits and vegetables
Alcohol – enjoy in moderation
Reduce your sugar intake
Track your weight

Enjoy a wide variety of foods
Variety is the spice of life! Everyday your body needs nutrients and other healthful substances (such as antioxidants) that only a wide variety of foods can provide. Most foods and beverages are made up of more than one nutrient, however no one food or food category has them all.

Add grains and legumes
These low fat foods should make up a large proportion of your meals. This group including bread, cereals, rice, pasta and other foods made from grains provides you with carbohydrate (your body’s fuel), B vitamins, fibre and a number of minerals. Legumes (e.g. peas, beans and lentils) provide you with good amounts of protein (important for vegetarians), B vitamins and fibre.

Having more soluble fibre in your diet, such as the type found in legumes will help to lower your cholesterol. The slow digesting carbohydrate they contain will also help those trying to control their weight or diabetics with their blood sugar control.

Trim the fat
Reducing your fat intake will lower your risk of becoming overweight which reduces your chance of certain conditions such as diabetes, heart disease, hypertension and certain cancers. Reducing your saturated fat intake will also go a long way to help keep your cholesterol in check.

Removing the skin from poultry and limit your intake of fatty meat such as pork belly, luncheon meat. When dining away from home choose more soup based dishes which are low in fat and limit those dishes made with coconut milk.

Shake the habit – reduce your salt intake
Too much salt has been linked to the development of high blood pressure or hypertension. The average diet contains more sodium than actually required.

One way to reduce your sodium intake is by tasting your food before adding salt. Also limit or avoid high sodium condiments such as soy sauce, oyster sauce, tomato ketchup. Opt for herbs, spices, chili or lime juice to add flavour instead.

Munch those fruit and vegetables
Besides being an excellent source of fibre, this low calorie, nutrient dense group provides you with essential vitamins and minerals, antioxidants, and phytochemicals that may not be present in other groups of food. Studies have shown that those people with a high intake of fruits and vegetables have a low rate of heart disease and cancer. Aim for 2 servings of fruit and vegetables daily.

Alcohol – enjoy in moderation
A moderate to heavy intake of alcohol has been associated with high blood pressure and certain cancers. An excessive intake can also lead to weight gain as gram for gram alcohol has almost twice the calories of carbohydrate or protein.

A safe intake would be no more than 2 standard drinks a day for women and no more than 4 for men with 2 alcohol free days per week.

Reduce the sugar intake
Food high in sugar tend to be “empty calories” as they have no essential fibre, vitamins or minerals and can sometimes displace more nutritious food. Most foods high in sugar also tend to also be high in fat, which if taken in excess can lead to weight gain. It is best to enjoy these foods in moderation.

Track your weight
A balance between the right food and regular exercise will ensure that your weight is healthy. Choosing low fat meals with ample carbohydrates, vegetables, fruit and protein will help you lose excessive weight, if you need to and help you to stay slim if you do not.

Be careful of fad diets or diets that offer fast weight loss as they more often do not change your eating habits and are nutritionally unbalanced. Once you go off them, the weight tends to come back straight away.

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©2006 Healthbase Online Inc. All rights reserved. | About us
The contents or materials provided in this website are for general information only and are not intended as medical advice.

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Dental Offices

Healthbase provides a wide range of dental procedures through its partner dental offices and hospitals network in
Mexico, Thailand, Singapore, India and expanding to Costa Rica, Panama, Argentina, Brazil and Belgium. The cost savings are 60-80% compared to USA prices. Healthbase’s state of the art, information rich web-based system helps you research and arrange your medical, cosmetic and dental care including necessary travel and accommodation, all at one place.

Partial list of dental procedures available

Dental Implants
Dental Crowns
Dental Bonding
Dental Bridges
Dental Caps
Dental Dentures
Dental Fillings
Full Mouth Restoration
Gum Treatment
Veneers, Bonding, Inlays and Overlays
Root Canal Treatments
Bleaching
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Teeth Whitening
Tooth Contouring and Reshaping

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Countries

Healthbase is a provider-of-choice for medical tourists world-wide. We provide direct access to leading JCI/JCAHO/ISO accredited hospitals in Thailand, Singapore, India, Mexico and we are expanding to Costa Rica, Argentina, Brazil, Malaysia and Panama.

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Singapore

Raffles Hospital

An ISO 9001 institute with US/UK trained specialists. Raffles Hospital in Singapore is a 380-bed tertiary care private hospital offering a full complement of specialist services using the most advanced medical technology. The rooms at Raffles Hospital are outfitted to the standards of five-star hotels, with an array of suites, single, double, four and six-bed rooms for you to choose from.

National Heart Center Singapore

National Heart Center Singapore is a designated national center for cardiovascular medicine in Singapore and sees over 85,000 outpatients yearly. Performed 2,056 Angioplasty procedures, 577 CABG procedures & 304 Pacing procedures in 2005. National Heart Center Singapore is the first heart center outside USA to be JCI (Joint Commission International) accredited.

Thailand

Piyavate Hospital

The Piyavate Hospital medical staff is comprised both American Board and Thai Board Certified Physicians in every specialty field, supported by highly qualified registered nurses, technicians and administrative personnel. Piyavate Hospital is located in Bangkok, Thailand. The hospital provides medical services using modern technology and state-of-the-art equipment, accredited by the International Standards Organization ISO 9001-2000.

Bangkok Hospital Group Medical Center

Bangkok Hospital is one of the biggest hospitals in Thailand providing tertiary healthcare. The Bangkok Hospital Group has world renowned physicians, cutting edge technology and excellent nursing staff provide all of their patients with the utmost level of medical care. The Bangkok Heart Hospital an ISO 9001:2000 accredited hospital has treated more than 40,000 cardiac outpatients and has done more than 1,100 heart surgeries to date.

India

Apollo Hospitals Group

The first Indian hospital to receive the Joint Commission International (JCI) USA accreditation the gold-standard in hospital certifications worldwide. Apollo Hospitals have over 7000 beds in 38 hospitals. Indraprastha Apollo Hospitals in New Delhi, India is spread over 12 acres of land, has a built-up area of 600,000 square feet, and handles close to 200,000 patients a year, of which 10,000 are international patients.

Wockhardt Hospitals Group

Wockhardt hospitals Group has established a chain of super specialty hospitals at Mumbai, Bangalore, Hyderabad, Kolkatta and Nagpur. Wockhardt Hospitals has associated with Harvard Medical International (HMI), USA. As associate hospitals of HMI in India, Wockhardt Hospitals benefit from the extensive learning and experience of Harvard Medical School and its affiliated institutions world-wide and strive to bring to its patients the benefits of global standards in technology and clinical expertise. Wockhardt Hospitals, Mumbai, has become the first super specialty hospital in South Asia to achieve accreditation from Joint Commission International (JCI), USA.

Escorts Heart Institute and Research Center

Escorts Heart Institute and Research Center (EHIRC), an ISO 9001 institute has a total of 164 Critical Care beds to provide intensive care to patients after surgery or angioplasty, emergency admissions or other patients needing highly specialized management. The hospital is backed by the most advanced laboratories performing complete range of investigative tests in the field of Nuclear Medicine, Radiology, Bio-chemistry, Haematology, Transfusion Medicine and Microbiology. Performed over 9756 Angiographies, 2707 Coronary Interventions, 5519 Cardiac (3214 CABG, 563 Valve, 765 Congenital, 977 other) surgeries in 2005.

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