Good Dry eye Clinics in India

[Milo007]

Hi Milo
There is an international (dry eye?) meeting in India
OSKON2018
maybe you could find dr list, such as Doctor Srinivasan, Iyer, and Chodosh (not sure if these are all Indian??)??
or just visit LipiFlow website - search for doctors

Good luck!

Thanks friend!

The problem is our options are limited since medical facilities in India are not really that great and comparable to what is available in the US. So, we really miss the advent of the cutting edge treatments being introduced globally.

Also, finding a good doctor is a rare possibility since most Indian doctors are not that updated in their modalities of treatment and they have attitude problems and doesn't believe in a patient-doctor relationship. I really regret the lack of doctors like Dr. Cremers who would reply even to a casual comment in YouTube as kindly as you could expect.

[Nevil]

Thanks Nevil for sharing your valuable experience and information.

I am quite impressed that you were able to consult Dr. Rohit Shetty as I was told that Dr. Shetty doesn't attend dry eye patients directly anymore and dry eye patients are redirected to Dr. D'Souza for basic evaluation followed by a Delphi with Dr. Shetty if required.Initially I was interested in booking an appointment with Dr. Rohit Shetty but I was denied and instead referred to Dr. D'Souza.

Hi Milo007,

I guess I went there when number of dry eye patients were less, since i have been referring with them for over an year now. This might be the reason I am able to consult with him.

I completely agree that general approach about treatments like Lipiflow , other dry eye things can be improved. Only thing we can do I guess is share information about any good doctors we find for everyone's benefit here.

My Career centers around use of computer Screens, hence I am doing all I can - warm compress, Omega3 intake etc.


Interesting to know that Grewal Eye Institute also offers Lipiflow . Good for people in India!

Thanks for sharing the note about Dr. Sandra, I will definitely check out her work.

Best of luck!

[Milo007]

Hello nevil ,
Hope you are doing well.As you wrote your in your last post that you would be glad to find doctors in India who could offer innovative options more effective than the usual protocols of treatment for dry eyes you have already given a try. Well here's two of them I found doing some research on the internet :

1. Dr. Rishi Swarup

Website : https://www.swarupeye.com/dr-rishi-swarup/

YouTube lecture : https://m.youtube.com/watch?v=-u3Lyg4dnoA

2. Dr. Daljit Singh (Late)

Website : http://www.daljiteye.com

YouTube link for innovative fugo blade meibomian gland probing : https://m.youtube.com/watch?v=kkT3QAx6XhE

I am highly optimistic of both of them specially Dr. Swarup. Dr. Daljit Singh died a year ago but you could visit his eye hospital for the fugo blade procedure. He was one of the top ophthalmologists in our country.

You could certainly try everything in your reach before it's too late and your glands drop out more in number.

Let me know if you visit them.

Best of luck

[Nevil]

Hi Milo007 ,

Thanks for sharing this information
Hope you're doing good too.

Looks like the 1st video was facilitated by Narayana Netralaya only, so it might be that all that he knows must be available at NN already. He also mentions that NN has had LipiView for a while and they just got it. Anyways, he does look knowledgeable!

The Fugo Blade Procedure seems interesting for Severe MGD cases.


However, I have found the cause for my MGD nd i guess i have to take a different route now. I recently got diagnosed with Rheumatoid Arthritis and now I am planning to focus on that to see where it gets me.
Good thing is hopefully if i fix it no further damage would happen to my eyes.

Hokucat , Rebecca Petris , Neerav1989 : Based on your experience with Dry Eyes and with posts in this forum : What would you suggest me to look into for possible treatments for my dry eyes given that a major reason of my Dry Eye might be Rheuamtoid Arthritis(I got diagnosed for it recently)? If there are any interesting threads on this forum that stand out in your mind, please do share.

I did my own research by searching posts on the forum and found that Scleral Lenses and Serum based drops help in such cases. My Rheumatologist also suggested to look into putting ducts in the eyes which can block tears. I am yet to visit my Opthalmologist at NN and see what they suggest know that i know i have R.A.

Thanks all!

[Milo007]

Hi Milo007 ,

Thanks for sharing this information
Hope you're doing good too.

Looks like the 1st video was facilitated by Narayana Netralaya only, so it might be that all that he knows must be available at NN already. He also mentions that NN has had LipiView for a while and they just got it. Anyways, he does look knowledgeable!

The Fugo Blade Procedure seems interesting for Severe MGD cases.


However, I have found the cause for my MGD nd i guess i have to take a different route now. I recently got diagnosed with Rheumatoid Arthritis and now I am planning to focus on that to see where it gets me.
Good thing is hopefully if i fix it no further damage would happen to my eyes.

Hokucat , Rebecca Petris , Neerav1989 : Based on your experience with Dry Eyes and with posts in this forum : What would you suggest me to look into for possible treatments for my dry eyes given that a major reason of my Dry Eye might be Rheuamtoid Arthritis(I got diagnosed for it recently)? If there are any interesting threads on this forum that stand out in your mind, please do share.

I did my own research by searching posts on the forum and found that Scleral Lenses and Serum based drops help in such cases. My Rheumatologist also suggested to look into putting ducts in the eyes which can block tears. I am yet to visit my Opthalmologist at NN and see what they suggest know that i know i have R.A.

Thanks all!

What's your schirmer's test results recently?

[Hokucat]

Hi Nevil. At least it sounds like you know your underlying cause is Rheumatoid Arthritis. Possibly your MGD was further compromised by using computers.

Will you be prescribed any medications for this condition? When I was diagnosed with likely Sjogren’s Syndrome, another autoimmune disease that affects primarily the eyes, my rheumatologist wanted to prescribe the relatively safe drug Plaquenil, to help reduce inflammation in my eyes and anywhere else in my body. He also suggested chemo, because I was unable to take a Plaquenil as it was contraindicative to a retina condition I have, but I decided to address my condition with diet instead, which fortunately worked for me. My good friend has RA, and a combination of Plaquenil+Diet helps her manage her eyes and overall condition. So by addressing your condition with medications and/or diet, it may also help your meibomian glands and lacrimal glands better function.

But if these don’t help much, your meibomian glands might be stubbornly blocked and/or have developed scar tissue, which first needs to be unblocked, otherwise likely medications and diet changes will have little improvement to your eyes. In this case you may need to try IPL (I read you had no result from LipiFlow earlier, which is the least invasive procedure), then probing if it seems you have scar tissue like I had. But would recommend probing the last resort MGD procedure, since it is very uncomfortable and invasive.

Doing regular lidscrubs can also help with the bacteria from the outside. I personally find Ocusoft Lidscrub Plus Foam works best for me scrubbing the eyelid margins with a qtip. Any other lid scrub I’ve tried either irritates my eyes, or it doesn’t help. But you need to find what works for you. The Dry Eye Shop has several, and with helpful descriptions by aRebeccs:

https://dryeyeshop.com/collections/l...aning-products

If warm compresses help you, continue to do them. For me for some reason it never helped much, but many in this forum find it a key part of helping their oils flow.

I think scleral lenses and possibly serum tears are great options to try to relieve dryness symptoms, even though they do not address your underlying condition. I wear my sclerals everyday, including putting a few drops of PF artificial tears and serum tears in with the saline when I insert them, so my eyes feel better, I can function better, and they are protected all day. However, if you can see if other treatments and/or diet work first, perhaps you can hold off on sclerals, as it can be quite a process to get the right fit, and they can be quite expensive if your insurance does not cover it.

[Nevil]

Hi Milo007 , I will try to take a note of my Schirmer test value when i visit NN next time. I now think I should monitor these results a lot more closely and my dry eye symptoms too so that i can quickly correlate changes.


Hokucat : Thanks for the response.

My Rheumatologist has prescribed me a hydroxychloroquine tablet for RA but he seems to think that it only will fix the Joint Pain & stiffness associated with RA & it wouldn't help my already damaged meibomian glands. A quick google search is telling me that these medicines are risky and can affect my eyes in long term. Looks like I should keep visiting my Opthalmogist regularly if i take this medication. An

Warm compresses make me comfortable and yes, i will continue doing so


Also, Thanks for sharing your insight about Sclerals. I think I should give the medication sometime before I take the decision.

I have read your story on this forum and I know about your success with Green Tea+Lemon Juice. I will try this and other popular diet changes for dry eyes and keep a track of how i feel.

[Hokucat]

Yes, hydroxychloroquine (aka Plaquenil) would likely not reverse damaged glands or unblock your glands (especially if you have scar tissue), but it might help reduce inflammation to your meibomian and lacrimal glands associated with RA. So definitely still need to continue seeing your dry eye specialist and continue dry eye treatments, with RA in mind. My specialist actually coordinates with my rheumatologist periodically on my condition.

Hydroxychloroquine can cause retina issues, so it is often recommended one sees a retina specialist 1-2 times a year to monitor this.

Hope you get better soon, now that you know the root cause.

[Nevil]

Yep, will keep working on dry eye treatments too. Hope to get well soon.
And Thanks for sharing the insight about Hydroxychloroquine. I would never have known!