Fungal Culture - Corneal Scraping Tips

1 Dr. Chanchal gadodiya

Https://www. Lybrate. Com/pune/doctor/dr-chanchal-gadodiya-ophthalmologist

M. B. B. S, ms, d. N. B, fellowship in paediatric opth & strabismology



An eye doctor specializing in low vision eyes lasik, and laser eye surgeon, vitreoretinal, cataract, and glaucoma surgeon oculoplasty and cornea transplant surgeon a pediatric strabismus specialist with a master of science from b y l nair hospital in mumbai and a bachelor of medicine and bachelor of surgery from b j medical college in pune, national board of examination, delhi. (maharashtra university of health and sciences) -2016, also having a clinical certification of d. N. B. -2017 aravind eye hospital, madurai, india fellowship in pediatric ophthalmology and strabismus in 2019. He is an important part of the international council of ophthalmology

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9 years of experience 500 at the clinic



;2 Dr. Shreyas shah, md

Https://www. Lybrate. Com/coimbatore/doctor/dr-shreyas-shah-ophthalmologist

M. B. B. S, d. N. B. (ophthalmology), r. O. P, fvrs-fellowship vitreo retina surgery, mrcs-edinburgh

He is an experienced ophthalmologist and vitreoretinal surgeon with qualifications including m. B. B. S. From krishna institute of medical sciences, karad - 2011 d. N. B. (ophthalmology) - rajan eye care, chennai - 2015 ophthalmologist and vitreoretinal surgeon r. O. P. From l. V. P. E. I. Hyderabad in 2016 f. V. R. S, i. E. Fellowship vitreo retina surgery from aravind eye hospital in 2019also achieved m. R. C. S. From university of edinburgh in 2018 having comprehensive experience as a resident doctor at nayanjyot eye hospital and also at prabhudesai eye clinic, working as an s. R. At sanjeevan hospital. He is also a member of international council of ophthalmology and all india ophthalmic society and also an essential part of ophthalmological society representative of madras city ophthalmological association.



11 years experience 100 - 700 at clinic 300 online

3 Dr. Nitin prabhudesai

Https://www. Lybrate. Com/pune/doctor/dr-nitin-prabhudesai-ophthalmologist

M. B. B. S, bachelor of medicine and bachelor of surgery, ms-ophthalmology, doms ;



Ophthalmology is one of the clinical specialties that he is interested in. He is a specialized eye surgeon as well as a lasik and laser eye surgeon, and he has built a reputation for himself as a person who defines quality by delivering 38 years of experience in giving people who are battling vision impairments hope. His conviction, as well as his life's work, is to educate others about the significance of ophthalmologic illnesses. He is considered one of the best ophthalmologists in the community. His education includes m. B. B. S. And master of surgery b. Y. L. Nair charitable hospital in 1989 and doctor of osteopathic medicine from college of physicians and surgeons in mumbai in 1988. He has won gold medal in d. O. M. S. It is a testament to his superiority that he is a reputed part of a. A. O, the all india ophthalmological society, the maharashtra ophthalmological society, and the poona ophthalmological society.

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38 years of experience 800 at the clinic 1000 online



4 Dr. Sachin bodhale

Https://www. Lybrate. Com/pune/doctor/dr-sachin-bodhale-ophthalmologist

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Retina & uvea consultant,

He is board-certified as an ophthalmologist and earned his education and clinical competence through the m. S. Program. B. J. Medical college in early 2000s clinical expertise from arvind eye hospital, madurai, fellowship in vitreoretinal arvind eye hospital, madurai, fellowship in vitreoretinal retina & uvea consultant-vasan eye care madurai-2009 when it comes to his specialty, he is a highly skilled physician. Because he is a reputed figure of the f. V. R. S, he is a specialist in treating all conditions affecting children and adolescents related to visual impairments.



20 years of experience, 400-500 at the clinic, 500 online

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5 Dr. Sangeeta wagh

Https://www. Lybrate. Com/pune/doctor/dr-sangeeta-wagh-ophthalmologist

Ms-ophthalmology

In terms of therapeutic competence, she has worked as an ophthalmologist, had clinical training in the form of a master's degree in ophthalmology from b. J. Medical college in 1989, and is a competent and committed clinician. Additionally, she is an excellent phaco cataract surgeon. Glaucoma surgeon infectious diseases in children, developmental problems in children, and growth issues in children. It is essential to correctly evaluate and diagnose vision and ophthalmic sickness since prompt management lessens the severity of other sepsis problems and makes them less likely to persist.

 

33 years of experience 500-1500 at the clinic

 

6 Dr. Mukesh paryani

Https://www. Lybrate. Com/pune/doctor/dr-mukesh-paryani-ophthalmologist

Fprs, dnb ophthalmology

He is a skilled eye surgeon who has received training in various procedures through various training programs, such as the fprs-narayana nethralaya-2012 and the d. N. B. Opthalmology-hv desai eye hospital-2011. His experience includes serving as the director at neo vision eye care and laser center, the head of department (lasik surgery). He is an important part of the f. P. R. S.

 

11 years of experience, 400 at the clinic, 300 online


 

7 Dr. Piyush bansal

Https://www. Lybrate. Com/pune/doctor/dr-piyush-bansal-ophthalmologist

M. B. B. S, ms-ophthalmology, fellowship of the royal college of surgeons (f. R. C. S.)

 

In addition to his expertise as an ophthalmologist, he holds degrees like m. B. B. S. From Dr. V. M. Govt. Med college in 2000 and Ms. Fellowship of the royal college of surgeons (f. R. C. S.) in vitreoretinal surgery at the l v prasad eye institute in 2013; bachelor of medicine in ophthalmology from Dr. V m govt. Med college in 2010, his previous clinical experience includes working as a clinical associate at the l. V. Prasad eye institute. In addition to this, he is recognized as an expert choice in treating a variety of opthalmological conditions. He is an esteemed figure in the american society of retina specialists and regularly participates in continuing medical education workshops and seminars hosted by the vitreo retinal society of india. In addition to being a well-respected member of the all india ophthalmological society, he is also a member of the maharashtra ophthalmological society, the poona ophthalmological society, the uveitis society of india, the oculoplastic association of india, and the american society of cataract and refractive surgery (a. S. C. R. S.)

 

22 years of experience 700 at the clinic



 

8 Dr. Archana nimbalkar

Https://www. Lybrate. Com/pune/doctor/dr-archana-nimbalkar-ophthalmologist-1

M. B. B. S, d. N. B. (ophthalmology), fellowship in phaco & glaucoma training, 

 

During his career spanning 20 years, he has performed multiple laser-assisted surgeries while working as a pediatric ophthalmologist, a phaco cataract surgeon, and a glaucoma surgeon. He has practiced as a glaucoma surgeon. Additionally, he has worked as a pediatric ophthalmologist. His education began with an m. B. B. S. From the krishna institute of medical science in 2003, followed by a d. N. B. In ophthalmology from the lions n. A. B. Eye hospital in 2009. After that, he completed a fellowship in phaco & glaucoma training at the lions nab eye hospital in miraj in 2010, and then a fellowship in pediatric ophthalmology at the arvind eye care system in madurai in 2012. He is skilled in treating phacoemulsification cataracts, glaucoma, corneal diseases, retinal disorders, and other oculomotor conditions. His memberships include the maharasthra ophthalmic society, where he is an active member, and the all india ophthalmic society, where he is a famous speaker. Ophthalmological society of delhi

 

19 years of experience, 400 at the clinic, 300 online

 

9 Dr. Hemant kamble

Https://www. Lybrate. Com/varanasi/doctor/dr-hemant-kamble-ophthalmologist

M. B. B. S, md-ophthalmology

He is not only highly skilled in the field of ophthalmology but also very skilled in eye surgery. He is an expert in a wide variety of eye conditions and surgical procedures, including the treatment of myopia, hypermetropia, cataract, glaucoma, and diabetic retinopathy, among others, such as phacoemulsification cataracts. His schooling includes a bachelor of medicine and bachelor of surgery degree from topiwala national medical college in mumbai in 2009 and a doctor of medicine degree in ophthalmology from all india institute of medical science in 2013.

 

13 years of experience 300 at the clinic

 

10 Dr. Anand raut

Https://www. Lybrate. Com/mumbai/doctor/dr-anand-raut-ophthalmologist

M. B. B. S, diploma in ophthalmology

 

Anand is an ophthalmologist with 24 years of experience in the ophthalmology clinic. He specializes in treating clinical vision-related issues such as glaucoma, corneal inflammation, angle closure glaucoma, keratitis, stye, chalazion, and other bacterial and fungal eye diseases. Additionally, he manages a variety of ophthalmologic conditions, such as oculomotor deficiencies and ocular motor disorders. He is also an expert in surgical procedures like lasik, cataracts, and minimally invasive surgery. He earned his m. B. B. S. In 2002 and a diploma in ophthalmology from rajiv gandhi university of health sciences, a reputable institution (2012).

 

20 years of experience 200 at the clinic

 

 


 

 



 

Skin disorders are one of the most contagious and prolonged disorders greatly differing in symptoms and severity. They can be curable or incurable and maybe more and less painful depending on the severity of the infection. Some of them have situational causes, while others may be genetic. Some skin disorders are minor, treated properly by consulting a doctor can be cured in time and others can be prolonged having multiple complications and can be life-threatening.

Skin disorders affect our lives in two different ways first by creating a cosmetic anomaly and secondarily by increasing metabolic adversity and decreasing chances of healthy living

1. Dr.Sandesh Gupta
Diploma in Venerology & Dermatology (DVD), MBBS
27 Years Experience 400 - 500 at clinic 400 online

Dr Gupta is a reputed dermatologist with 27 years of practice .he is Director at Skin n laser center Laxmi Nagar Delhi. he is a renowned member of the Indian Association of Dermatologists Venereologists and Leprologists (IADVL) Cosmetic Society of India (CSI) Delhi Medical Association (DMA) MCSI (Cosmetology). He provides good results acne treatment, hair follicle treatment, vampire face lift treatment, derma roller treatment, anti-aging treatment, and bleaching treatment.

2. Dr. A.K.Chatterjee
46 Years Experience 500 at clinic 400 online
Dr. A.K.Chatterjee runs his own practice at CHATTERJEE SKIN CARE CENTER and having as abundant as 46 years of experience and expertise in this field. after gaining expertise as a renowned dermatologist at GTB hospital Delhi and working as a consultant and medical superintendent. With years of experience at a government institution, he is accurate in botox, fillers, laser hair reduction, and laser skin rejuvenation. He always keeps himself updated with the modern and latest technologies and new advancements in treatment. He practicing as a member of the Indian Association of Dermatologists, Venereologists and Leprologists (IADVL), Indian association of leprologists, Cosmetology Society of India (CDSI), Member NAIL Society of India

3. Dr. Pankaj Chaturvedi
MD, MBBS
17 Years Experience 1500 at the clinic
He is a reputed dermatologist with 17 years of practice. after pursuing MBBS he did his MD from AIIMS Delhi. He is being worked as an esteemed member of the International Society of Hair Restoration Surgery (ISHRS) American Academy of Dermatology (AAD) International Society of Dermatology. His fields of expertise include facial hair transplantation, collagen induction therapy, hair mesotherapy, chemical peels, derma rollers, anti-aging treatments, atopic dermatitis treatments, and skin rejuvenation. He is associated with med links clinic situated in Safdarjung enclave Delhi.

4. Dr. Munish Paul
MBBS, MD-Dermatology
28 Years Experience 800 - 1000 at the clinic
Having 28 years of experience and working with many hospitals and clinics in Delhi. He has handled numerous cases of skin conditions with techniques like chemical peeling, anti-aging therapy, derma roller therapy, and laser therapy i.e.for tattoos, and facial hair removal. He is a member of many reputed associations like the Indian Association of Dermatologists, Venereologists & Leprologists (IADVL), the Indian Association of Aesthetic Laser Surgeons, Association of Cutaneous Surgeons of India. due to his expertise in various surgical and cutaneous cosmetic-based treatments, he is one of the most preferred doctors for treatment procedures like PRP therapy, hair transplant, lasers for scars/ pigmentation and hair reduction, botox,

5. Dr. Amit Seth
MD, MBBS
27 Years of Experience 800 at the clinic
He is a well-established consultant dermatologist and a cosmetologist with 27 years of practice. He is currently associated with Dr. Seth's Laser Dermato Surgery Centre. He has a strong academic background, has delivered numerous papers at both the national and international levels, and is a member of numerous groups. his expertise in the field of dermatology leads to winning him the Leading Health Professional award from IBC England he is a senior member of the International Society of Dermatology He has a deep interest in general dermatology, acne treatment, PRP therapy, hair transplant, lasers for scars/ pigmentation and hair reduction, chemical peels, and skin rejuvenation.

6. Dr. Lipy Gupta
MD - Dermatology, Venereology & Leprosy, MBBS
17 Years Experience 700 - 1000 at clinic 1000 online
Dr. Lipy Gupta is a reputed dermatologist with 17 years of practice. She has worked in many parts of India for many years and has treated hundreds of people. She specializes in various treatments like Derma Roller Therapy, Glycolic Peel therapy, Dimple Creation, Lactic Peel Therapy, Photo Facial Therapy, and Electrocautery Therapy. She is also considered very precise and efficient at dermal fillers treatment and med facial and Skin Refinement Treatment.

7. Dr. Sanjeev Jain
MD Dermatology
30 Years Experience 600 at the clinic
Dr. Jain has been practicing for 30 years and currently practices at Dr. Sanjeev Jain's skin care clinic Darya ganj Delhi. being one the early pioneers of skin treatment and developing various newfound methods in Dermatology and Cosmetology in India. He is known for use of advanced procedures and techniques for hair transplants. Apart from hair disorders, he is also known for his anti-aging treatments using laser therapy he also has expertise in Bleaching Therapy, Glycolic Peel Therapy, Dimple Creation, Derma Roller Therapy, Hair Mesotherapy Therapy., etc

8. Dr. Jyoti Sharma
MD - Dermatology, MBBS
19 Years Experience 700 - 800 at clinic
She has 19 years of experience and is considered an expert at laser hair reduction and hair loss treatment by plasma replacement therapy. She is currently affiliated with vardaan skin and bone clinic Rohini Delhi. She is associated with some of the most reputed institutes and associations in India including the university college of medical sciences and GTB hospital Delhi.

She is specialized in the treatment of various skin disorders Keratosis pilaris, eczema, diaper rash, seborrheic dermatitis, warts, and acne. hives.ringworm, rashes from bacterial or fungal infections, and rashes from allergic reactions she is also an expert in various treatment procedures Dimple Creation, Derma Roller Treatment Botox Treatment, Wart Removal, Electrocautery Therapy, etc.

9. Dr. A V Singh
MD, DVD, MBBS
29 Years of Experience 200 - 400 at the clinic
He is among the most popular name in the field. he is Working in Private Practice for the last 17 years. at SKIN CARE CLINIC. he has expertise in anti-aging treatment, aesthetic medicine, and Hair Transplantation. he is one of the expert physicians in treating acne, ringworm, rashes from bacterial or fungal infections, and he has opened a few clinics in different parts of Delhi and is a visiting consultant at different hospitals in Delhi .he is an expert in cosmetic treatments including Restylane Vital therapy, Acne therapy, Botox therapy, Wart Removal, Electrocautery Therapy, Collagen Induction Therapy.

10. Dr. Gaurav Garg
Fellowship In Dermato - Surgery, Fellowship In Hair Transplant Surgery, MD - Dermatology
16 Years Experience 1200 at clinic
He is an expert dermatologist with experience of more than 16 years .he is an esteemed member of EADV, International Society of Dermatology, Indian Association of Dermatologists Venereologists and Leprologists, ACSI, CDSI, Pigmentary Disorder Society, Member of International League of Dermatological Societies. he is an expert in disorders like psoriasis, eczema, atrophic dermatitis, keratitis, keratomalacia, etc he is also a fellowship researcher for leprosy treatment procedure and clinical management of complications of bacterial infections in skin disorders. he specializes in laser treatment, medical cosmetology, and breast lift/augmentation/reduction.

Ulcers and perforations of cornea are some very serious clinical conditions, which threaten vision rapidly and progressively, and disintegrate the eye globe. They need to be taken care of immediately to prevent irreparable damage to the eyes. In spite of the advanced medical research and practice, severe injuries, infections, and diseases of cornea can lead to serious corneal perforations, which require surgery necessarily as the ultimate solution.

Urgent reconstructive surgery might be necessary to avoid consecutive endophthalmitis, formation of synechiae (anterior and posterior), and secondary glaucoma to prevent spread of pathogens toward posterior pole of eye globe. This surgery is also performed to avoid other severe complications including inflammation.

The approach of performing surgery to retain corneal integrity depends on localization, size, state of internal globe tissue, and depth and severity of corneal tissue damage. The state of inflammation and causative infection influences the choice and sequence of surgeries. Urgent Penetrating Keratoplasty, Total Penetrating Keratoplasty, and Corneal or Corneo Scleral Patch Graft, or combination of surgical approaches, also called Keratoprosthesis , which are performed only for end-stage, progressive corneal pathology, or the last-chance medical treatment.

Ramon Castroviejo, in 1951, described Penetrating Keratoplasty as a method to replace a larger diseased cornea and sclera lying adjacent to it with donor tissue.

The goal of Penetrating Keratoplasty is tectonic repair of large corneal perforations to restore the integrity of the eye globe and correcting or resolving many other conditions of the eye simultaneously.

When to Perform Penetrating Keratoplasty?

Penetrating Keratoplasty is performed for perforated cornea in the following cases:

Corneal degenerations.

Keratoconus and ectasias.

Corneal dystrophies including Fuchs endothelial dystrophy.

Viral keratitis.

Noninfectious ulcerative keratitis.

Post infectious keratitis.

Microbial keratitis including Fungal and Bacterial keratitis.

Chemical injuries.

Congenital opacities.

Refractive indications.

Mechanical trauma.

Regraft unrelated to allograft rejection.

Regraft related to allograft rejection.

Surgical Procedure:

Surgical procedure involves the following steps:

Preparation of donor tissue is the first step. A corneal button slightly larger than the host corneal opening helps in reducing post-surgical excessive corneal flattening, reducing risk of secondary glaucoma, and enhancing closure of wound.

Afterwards, host cornea is trephined; viscoelastic is filled into the anterior chamber followed by placement of donor tissue on the endothelial side down of recipient's eye.

Cornea is then sutured in place, interruptedly or continuously. Interrupted sutures are preferred in inflamed, vascularized, or thinned corneas and in paediatric cases.

Penetrating Keratoplasty might be performed in combination with cataract surgery, glaucoma surgery, retinal surgery. and secondary intraocular lens implantation.

Take Away:

Penetrating Keratoplasty is the true and last-chance medical treatment to treat large corneal perforations. It is the only ophthalmologic surgical procedure which restores ocular integrity, and at the same time takes care of infections, inflammations, and necrotic tissue. Such a holistic approach minimizes the risk of endophthalmitis and prevents the spread of disease to the globe of the eye. It also improves the probability of graft survival and has a good potential to improve visual acuity.



Penetrating Keratoplasty is an effective surgical process. However, it is always advisable to consult an experienced and skilled surgeon before opting for this method.

Namaskar!

Main Dr. Sandeep Jha, Gastroenterologist and liver transplant surgeon. Apko aaj liver transplant ke bare me kuch batana chahta hun. Aaj apko liver transplant se related myths bhi clear krunga. First question hai ki cirrhosis ke konse patient ko transplant ki jarurat hoti hai. Agar apko cirrhosis ke severe symptoms hai to apko liver transplant ki jrurat hai.

Iske symptoms kya hain. Pet me pani bharna, behoshi hona, blood in vomiting, cirrhosis se kidney and lungs pe effect hona. Aise symptoms hone se jaldi hi transplant kara lena chahiye. Agar CT scan me liver cirrhosis ke sath cancer bhi hai to apko transplant ki jarurat hai. Liver transplant ke 2 types hain. Living donor and deceased donor transplant. Living donor me apke relative se 60-70% liver nikal ke apme lagaya jata hai. Deceased donor me kisi non-living human body se liver nikal ke mariz me lagaya jata hai. Deceased donor ke lia apko pehle registration kerana pdta hai kyuki government list me jiska name sabse pehle aat hai, use liver pehle milta hai. kyuuki organ donation India me bahut kum hai. Apko 4-6 months bhi liver k liye wait kerna pad sakta hai. Kya cirrhosis se apki jaan ko khtra ho skta hai? Cirrhosis liver failure ka dusra name hai. Liver body me 400 functions kerta hai. Liver failure baki ke organs ko bhi effect krta hai. Jaise kidney, brain, heart, lung etc. Agar apko cirrhosis ke symptoms hain to apki life 1-5 years hi hai.

Agar apko blood in vomiting, kidney failure and brain effect ho rha hai to apki life 1 year me 60% hi reh jati hai. Cirrhosis se liver cancer hone ka risk bhi hai. Kya liver transplant cirrhosis ka successful treatment hai? Iske lia hum ye keh skte hain ki cirrhosis ka ek hi treatment hai jise liver transplant kehte hain. Ye ab tak ka sabse bada operation hai. India me ye operation kafi successful hai. Dusre desh se bhi kafi log aake ye operation India me karate hain. In fact bahar se log donor leke aate hain and 60-70% bahar ke log hi India me transplant kerate hain. Kehte hain ki liver transplant bhut risky surgery hai and kafi costly bhi hai. Ye 90% successful hai. Kuch patients me operation ke baad bhi problem ho skti hai. Agar aap liver transplant nhi krate hain to aap hospital ke chakkar hi katte reh jate hain. Iske alawa mariz apna koi bhi kam krne ke layak nhi bachta hai.

Successful treatment ke baad patient bilkul thik rehta hai. Liver transplant ka khracha kam ho rha hai. As of now iska khracha 18-20 lakhs hai. Or mariz ko har mahine 2-3K medicines me bhi spend kerna padta hai. ye ek myth hai ki transplant ke baad mariz ko ghar se niklna mana hai or kafi problems bhi hoti hain. But aisa bilkul bhi nhi hai. Apko regular medications lena padta hai jo apke blood pressure and diabetes ki medicines ki trha hi hote hain. Or regular check-ups krane pdte hain. Agar aap cirrhosis ke patient hain or apko surgery krnai hai to ek bar liver transplant ke mariz se miliye or uske baad hi apna nirnaye lijiye. agar apko is treatment ke bare me kuch janna hai to aap mujhe Lybrate ke through contact kar skte hain.

Dhanywad.

Herpes is caused due to the presence of the herpes simplex virus in your body. Herpes can appear on multiple areas of your body, but more commonly manifests in the genitals as well as the mouth. The two types of herpes are HSV-1 (oral herpes) and HSV-2 (responsible primarily for the outbreak of genital herpes).

Causes of Herpes Simplex:

Herpes is contagious in nature and can be passed to you by having sexual intercourse with anyone who has been infected. HSV 2 is the primary form of the virus, which is transmitted in this manner.
Herpes could be transmitted to an infant from their mother if she was infected while pregnant.
It can also get passed through direct contact like using the same plates or spoons or even the sharing of lip balm. Even kissing can spread the virus if the infected person has cold sores.
Symptoms of Herpes Simplex:

The presence of blistering sores within the mouth or in the genital area is a telltale sign that you may have contracted genital herpes.
If you are having painful urination then you should check with your doctor for the herpes virus.
Continuous itching in certain areas such as the genitals.
Not wanting to eat, having a fever could also be symptoms of herpes simplex virus in your body.
Herpes can spread to your eyes and is known as herpes keratitis. It can cause pain in your eyes.
Diagnosis of Herpes Simplex:

The common way to diagnose herpes is with an actual physical exam. Doctors will generally look out for sores on your body and may also check for some similar symptoms which might indicate herpes simplex.
HSV testing (alternately called herpes culture) is done to check the presence of a virus on the genitals. A fluid sample from the genitals is sent to laboratory for tests and will require a visit to the health center.
There are blood tests to look for antibodies for both forms of HSV to diagnose the infections. However, this test is done only when there is and absence of sores or visible symptoms.