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Fridah

I heard about Laser Eye Centre from a friend. I visited Dr. Joshi’s clinic and underwent an assessment after which the C-Ten surgery was performed on me. I could see clearly within 2 days of my surgery! What an experience! My eyesight has greatly improved and my confidence levels have really spiked! I have absolutely no regrets and would recommend Laser Eye Centre to anyone. [/vc_column_text][/vc_column][/vc_row] Read more Fridah

The Eye

How the Eye Works The human eye is the organ which gives us the sense of sight, which allows us to learn more about the surrounding world than any of the other senses. The eye allows us to see and interpret shapes, colours, and dimensions of objects in the world by processing the light they reflect or give off. The eye is able to see in dim light or bright light, but it cannot see an object when light is absent. The eye changes light rays into electrical signals then sends them to the brain, which interprets these electrical signals as visual images. Among the more important parts of the human eye are the iris, cornea, lens, retina, conjunctiva, the macula, and the optic nerve. These are seen in the diagram below: [/vc_column_text][/vc_column][vc_column width="1/3"][vc_empty_space height="58px"][vc_single_image image="3797" img_size="large" css_animation="slideInLeft"][/vc_column][/vc_row][vc_row css=".vc_custom_1495616256149{margin-top: 35px !important;}"][vc_column][vc_column_text] The cornea is a part of the eye that helps focus light to create an image on the retina. It works in much the same way that the lens of a camera focuses light to create an image on film. The bending and focusing of light is also known as refraction. Usually the shape of the cornea and the eye are not perfect and the image on the retina is out-of-focus (blurred) or distorted. These imperfections in the focusing power of the eye are called refractive errors. When the cornea, lens or eye is not normal, light cannot focus accurately on the retina and the image is blurred. The eye is like a camera in the way it captures and focuses the light. Here is a step-by-step guide of how the eye works to provide you with vision: Light enters the eye through the cornea, the clear, dome-shaped surface that covers the front of the eye. From the cornea, the light passes through the pupil. The amount of light passing through is regulated by the iris, or the colored part of your eye. From there, the light then hits the lens, the transparent structure inside the eye, which focuses light rays onto the retina. [/vc_column_text][/vc_column][/vc_row][vc_row css=".vc_custom_1495616256149{margin-top: 35px !important;}"][vc_column width="1/4"][vc_single_image img_size="full"][/vc_column][vc_column width="3/4"][vc_column_text] Normal Vision (Emmetropia) Normal vision occurs when incoming light rays focus precisely on the eye’s retina. The retina acts as a camera to the brain. Many vision problems occur due to the shape, health or age of your eyes. [/vc_column_text][/vc_column][/vc_row][vc_row css=".vc_custom_1495616256149{margin-top: 35px !important;}"][vc_column][ultimate_info_banner banner_title="What is 20/20 vision?" banner_desc="20/20 is a measurement of your distance vision. 20/20 vision is frequently described as a person being able to see detail from 20 feet away that a person with normal vision can see from 20 feet. Therefore, if a person has a 20/40 vision, this indicates that the person would have to be 20 feet away to be able to see what a person with normal vision of 20/20 could see at 40 feet." info_effect="fadeIn"][/vc_column][/vc_row][vc_row css=".vc_custom_1495616256149{margin-top: 35px !important;}"][vc_column][vc_column_text] Why do we wear glasses? Before you understand Laser Vision Correction, the different types of visual problems which cause you to wear glasses need to be understood. These include: [/vc_column_text][vc_row_inner][vc_column_inner width="1/4"][vc_column_text] Myopia Myopia, more commonly known as shortsightedness, occurs when an eye has Read more The Eye

Gallery

Patients seeking eye surgery flock Laser eye surgery clinic[/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_column_text css_animation="slideInDown"] Laser eye surgery: New technology offers surgical solution[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height="yes" css=".vc_custom_1495614334228{padding-right: 0px !important;padding-left: 0px !important;}"][vc_column_inner width="1/2"][vc_column_text css_animation="slideInDown"] Eye Statistics in Kenya by LASER EYE CLINIC[/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_column_text css_animation="slideInDown"] Lifestyle: Laser Surgery[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height="yes" css=".vc_custom_1495614334228{padding-right: 0px !important;padding-left: 0px !important;}"][vc_column_inner width="1/2"][vc_column_text css_animation="slideInDown"] Lasik in Kenya[/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][/vc_column_inner][/vc_row_inner][/single_tab][single_tab icon="Defaults-file-image-o file-photo-o file-picture-o" title="Photos" tab_id="6a866be9-0dfa-7"][/single_tab][/ult_tab_element][/vc_column][/vc_row] Read more Gallery

Charitable work

He is an honorary member of the Rotary Club of Nairobi and under the banner of the Kenya Rural Eradication Blindness Project, Dr. Joshi and his team have performed over 15,000 free cataract and 100 free corneal transplant operations in Kenya. He has been awarded the highest award, the Paul Harris fellowship, for this work. Although not currently associated with any Lions activity, Dr. Joshi was a past member of Lions Club from 1979 to 1989. During the 10 years he and his team performed 5000 cataract and 100 corneal transplant operations and was awarded the best Lion of the year by the Lions Club of Nakuru, Nairobi. [/vc_column_text][/vc_column_inner][/vc_row_inner][vc_column_text css_animation="slideInDown"] Dr. Mukesh Joshi has been also honored with the Hind Rattan Award (Jewel of India) by the NRI (Non-Residential Indian) welfare society of India. He was presented this award on the eve of republic day of India 25th January 2012. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text] Paul Harris Fellowship Award by Rotary Club of Germany[/vc_column_text][/vc_column][vc_column width="1/2"][vc_column_text] Hindu Rattan Award by Indian Government[/vc_column_text][/vc_column][/vc_row] Read more Charitable work

C-Ten “No-Touch No-Cut” Laser Vision Correction

Laser Vision Correction in 30 Seconds [video width="500" height="360" mp4="https://lasereyeafrica.com/wp-content/uploads/2017/04/C-TEN-video.mp4"][/video] [/vc_column_text][ult_animation_block animation="slideInDown" animation_duration="1" animation_delay="" animation_iteration_count="1"][vc_custom_heading text="WHAT IS C-TEN (CUSTOMIZED TRANS-EPITHELIAL NON-CONTACT)?" font_container="tag:h5|text_align:left" google_fonts="font_family:Raleway%3A100%2C200%2C300%2Cregular%2C500%2C600%2C700%2C800%2C900|font_style:700%20bold%20regular%3A700%3Anormal"][vc_separator align="align_left" border_width="5" el_width="10"][/ult_animation_block][ult_animation_block animation="slideInDown" animation_duration="2" animation_delay="0" animation_iteration_count="1"][vc_column_text] The principle of laser vision correction is to reshape the cornea in order to correct short-sightedness and long-sightedness where the cornea is reshaped in the middle, known as the stroma. [/vc_column_text][vc_row_inner][vc_column_inner width="1/3"][vc_column_text] Dr. Joshi performing C-Ten Laser Vision Correction [/vc_column_text][/vc_column_inner][vc_column_inner width="2/3"][vc_column_text] In previous technology, laser vision correction was done by LASIK, Epi-LASIK or LASEK.All three procedures require some sort of surgical intervention, but in C-TEN laser vision correction, no surgical intervention is required. [/vc_column_text][/vc_column_inner][/vc_row_inner][vc_column_text] Keeping the same principle in mind, C-TEN is a revolutionary technology where no instruments touch the eyes of the patient; the laser is specialised to do the treatment. C-TEN laser vision correction is a very popular treatment in Switzerland, Canada, Norway and Europe and is now available for the first time in Africa and Asia at Laser Eye Centre. iRES IVIS 1000Htz is the world’s fastest laser machine. [/vc_column_text][/ult_animation_block][ult_animation_block animation="slideInDown" animation_duration="1" animation_delay="" animation_iteration_count="1" css=".vc_custom_1494492551819{margin-top: 50px !important;}"][vc_custom_heading text="HOW IS C-TEN LASER VISION CORRECTION DONE?" font_container="tag:h5|text_align:left" google_fonts="font_family:Raleway%3A100%2C200%2C300%2Cregular%2C500%2C600%2C700%2C800%2C900|font_style:700%20bold%20regular%3A700%3Anormal"][vc_separator align="align_left" border_width="5" el_width="10"][/ult_animation_block][vc_tta_tabs][vc_tta_section title="Stage 1: Assessment" tab_id="1494257301724-f48f4548-5c26"][vc_row_inner equal_height="yes" content_placement="middle" css=".vc_custom_1520249620633{margin-top: 15px !important;margin-right: 15px !important;margin-bottom: -35px !important;}"][vc_column_inner width="1/2"][vc_column_text][/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_column_text] Dr. Joshi examining a patient and providing a prescription of spectacles [/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height="yes" content_placement="middle" css=".vc_custom_1520249620633{margin-top: 15px !important;margin-right: 15px !important;margin-bottom: -35px !important;}"][vc_column_inner width="1/2"][vc_column_text] [/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_column_text] Checking the refraction of the patient [/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height="yes" content_placement="middle" css=".vc_custom_1520249711636{margin-top: 15px !important;margin-right: 15px !important;margin-bottom: -35px !important;}"][vc_column_inner width="1/2"][vc_column_text][/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_column_text] Topography takes the mapping of the cornea [/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_tta_section][vc_tta_section title="Stage 2: Assessment" tab_id="1494257302720-d62d1894-30d7"][vc_row_inner][vc_column_inner width="1/3"][vc_single_image image="4697" img_size="full" onclick="link_image"][vc_column_text css=".vc_custom_1495456719235{margin-top: 0px !important;}"]Planning the treatment[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="4698" img_size="full" onclick="link_image"][vc_column_text css=".vc_custom_1495456699145{margin-top: 0px !important;}"]Exporting the treatment to the Laser machine[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3524" img_size="full" onclick="link_image"][vc_column_text css=".vc_custom_1495456709574{margin-top: 0px !important;}"]Performing the C-Ten procedure[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_column_text] The patient’s data is exported into the iRES IVIS 1000Htz laser machine. Anaesthetic eye drops are placed in the patient’s eyes the patient lie back on a Laser Bed and an eyelid holder is inserted gently to prevent blinking. The patient looks at a blinking red light inside the laser apparatus. The C-TEN procedure is completed within 30 seconds. [/vc_column_text][/vc_tta_section][/vc_tta_tabs][vc_row_inner equal_height="yes"][vc_column_inner width="1/2"][vc_column_text][/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_column_text][/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner width="1/2"][vc_column_text] Modern Tomography Precisio provides a detailed, three dimensional mapping of corneal inner and outer surface. Takes about 39,000 spots of the eye and defines the real shape of the cornea’s anterior and posterior surfaces, 3-D Pachymetry and anterior chamber dimensions. [/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_column_text] pMetrics- measuring the size of the pupil pMetrics is used to measure the size of the pupil in different lighting conditions. In low light the pupil is larger than the strong lighting. Since pupil size varies from person to person, it is important to determine how each pupil reacts to provide a customized procedure-metrics is measuring the size of the pupil in 6 different lighting conditions. [/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]Laser eye surgery: New technology offers surgical solution [media_video url="http://www.youtube.com/watch?v‹´›TaEHik8imho" width="100%" height="350" _fw_coder="aggressive" __fw_editor_shortcodes_id="cfee3e2cf6d2d0555ac01a861b18f8ff"][/media_video][/vc_column_text][/vc_column_inner][vc_column_inner][vc_custom_heading text="WHO WILL BENEFIT FROM LASER VISION CORRECTION?" font_container="tag:h5|text_align:left" google_fonts="font_family:Raleway%3A100%2C200%2C300%2Cregular%2C500%2C600%2C700%2C800%2C900|font_style:700%20bold%20regular%3A700%3Anormal"][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner width="1/2"][vc_column_text] MYOPIA Myopia, more commonly known as short-sightedness, occurs when an eye has too much focusing power. This means that the eyeball is either too long or the cornea is too steep and the projected image falls short of the retina. The Read more C-Ten “No-Touch No-Cut” Laser Vision Correction

Cataract Extraction by Phaco-Emulsification

WHAT IS A CATARACT? The leading cause of reversible blindness in the world. A partial or complete loss of transparency of the crystalline lens substance and its capsule. When a cataract develops, the lens becomes opaque and prevents the light rays focusing on the retina. The image that the retina receives becomes dull and fuzzy. [/vc_column_text][vc_column_text]View Video[/vc_column_text][vc_separator][vc_column_text css_animation="fadeInDown"] Sight and the normal eye Sight is possible with the combination of a healthy eye and brain. Inside the eye, behind the cornea is the coloured part of the eye (iris) with the black hole in the centre (pupil). Behind this is a lens. Light rays pass through the transparent cornea through the pupil and are then focused through the lens onto the retina. In a normal eye, the lens is made of a clear, flexible gel surrounded by the transparent lens capsule. The lens adjusts its curvature to fine focus light rays onto the back of the eye (retina). [/vc_column_text][vc_separator][vc_row_inner equal_height="yes"][vc_column_inner width="1/3"][vc_single_image image="3086" img_size="full" css_animation="left-to-right"][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3087" img_size="full" css_animation="left-to-right"][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3088" img_size="full" css_animation="left-to-right"][/vc_column_inner][/vc_row_inner][vc_separator][vc_column_text css_animation="fadeInDown"] CAUSE AND SYMPTOMS Most forms of cataract develop in adults, after the age of 40. The normal process of aging causes the lens to harden and become cloudy. This is called age-related cataract and it is the most common type of cataract. Other major causes of cataract include the following: Diabetes and injury to the eye (blunt or perforating). Long-term use of systemic steroids can also induce a cataract. High exposure to ultraviolet light and environment degradation speeds up the process of cataract development. Some babies are born with congenital cataracts, which are hereditary. [/vc_column_text][vc_row_inner equal_height="yes"][vc_column_inner width="1/2"][vc_column_text]Some of the symptoms of cataracts include: Dull and fuzzy vision and sometimes double vision Glare from bright sunlight or poor vision when viewing oncoming automobile headlights at night Photophobia Difficulty in performing routine tasks such as reading the newspaper Change in colour perception Night driving [/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_gallery interval="3" images="3089,3090,3091,3092" img_size="full" css_animation="left-to-right"][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width="2/3"][vc_column_text css_animation="fadeInDown"] WHEN SHOULD A CATARACT BE TREATED? Among so many patients and ophthalmic workers, there is a misconception that a cataract has to be fully matured and the patient has to be blind before the cataract can be operated on.These days, thanks to advantages and results of Phacoemulsification (see below), a cataract can be done at any time when the reduction in vision interferes with the normal activities of patients, like driving, reading, playing sports, etc. For a cataract patient, the usual eye test charts of opticians, which are known as Snellen charts, are inadequate. There are special charts known as contrast sensitivity charts, which will fabricate the vision of cataract patients in their working environment like driving at night or in bright sunlight. Sitting in the doctor’s or optician’s office with a normal Snellen chart, the patient’s sight could be as good as 80%- 90% while the same patient’s vision drops to 10% whilst driving. [/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3093" img_size="full" css_animation="left-to-right"][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width="2/3"][vc_column_text css_animation="fadeInDown"] TREATMENT Once the lens of the eye becomes cloudy, there is no medication available to treat cataracts. Surgery is therefore the only effective way to remove the cataract or cloudy Read more Cataract Extraction by Phaco-Emulsification

Keratoconus

Keratoconus is the leading cause of blindness especially among the youth in East Africa. A normal cornea (see definition of cornea below) is shaped like a watch glass, but sometimes it starts thinning and bulging; this is known as Keratoconus (Kerato meaning Cornea and Conus like a cone). In such cases, the cornea cannot perform its main function of focusing light rays entering the eye on to the retina due to its distorted shape. [/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_single_image image="3915" img_size="full"][vc_column_text]Normal Eye[/vc_column_text][vc_single_image image="3914" img_size="full"][vc_column_text]Eye with Keratoconus[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_column_text]View Video[/vc_column_text][vc_column_text] Here the middle part of the cornea becomes weak and thin. As a result, it cannot withstand the pressure of the eye causing the cornea to bulge. The exact cause of Keratoconus is not known, but it is believed that it could be due to a malfunction in the enzymes, which make the stroma (please see cross-section of the cornea) weak. It could also be associated with allergy and there is some evidence that it may be hereditary. Keratoconus is also linked with over exposure to sunlight, improper contact lens fitting and constant eye rubbing. If there is progressive stretching in the Descemet’s membrane, it leads to rupturing of the membrane and can cause hydrops, where the cornea becomes completely cloudy as shown in the picture below. [/vc_column_text][vc_row_inner][vc_column_inner width="1/2"][vc_single_image image="4383" img_size="full"][vc_column_text]Cross-section of the cornea[/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_single_image image="3824" img_size="full"][vc_single_image image="3825" img_size="full"][vc_column_text]Hydrops – Here the cornea has become competently cloudy[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_column_text css_animation="left-to-right"]Diagnosis Diagnosis of Keratoconus is done through Topography and Tomography, which is a gold standard for Keratoconus but your optician, will suspect Keratoconus if there are following changes:- Frequently change in the astigmatism of the eye and despite of giving the correct glasses the vision of the quality is not very good and there is difference in glasses prescription between your two eyes. [/vc_column_text][vc_separator][vc_column_text]Topography Test During topographic examination, concentric rings are projected on the cornea and images are taken by a specialized camera. This image is then colour coded to represent the corneal surface. Cool colors like green and blue are flatter meridians like grass and lake, while hot colors like red. [/vc_column_text][vc_row_inner][vc_column_inner width="1/3"][vc_single_image image="4637" img_size="full"][vc_column_text]Topography Test[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3827" img_size="full"][vc_column_text]Topography showing Normal cornea[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="4639" img_size="full"][vc_column_text]Topography showing Keratoconus[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_column_text]Tomography with the cutting edge Precisio machine[/vc_column_text][vc_column_text] The Precisio machine is then used to assess the back surface of the cornea as well as checking the surface as well. The Precisio machine examines 39,000 points in the eye and gives an accurate measurement on the corneal thickness (Pachymetry). [/vc_column_text][vc_row_inner][vc_column_inner width="1/3"][vc_single_image image="4552" img_size="full"][vc_column_text]The Topography Machine[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="4641" img_size="full"][vc_column_text]Normal Precisio[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3833" img_size="full"][vc_column_text]Precisio Showing Keratoconus[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_column_text]Diagnosis of Keratoconus by Epithelial Mapping[/vc_column_text][vc_row_inner][vc_column_inner width="1/3"][vc_single_image image="4643" img_size="full"][vc_column_text]Optical Coherence Tomography test: This test detects early signs of Keratoconus[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3835" img_size="full"][vc_column_text]Normal Tomography test[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_single_image image="3836" img_size="full"][vc_column_text]Tomography showing early signs of Keratoconus[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_column_text] TREATMENT: At Laser Eye Centre we have the following protocol for treating Keratoconus  Early to moderate stages we do central corneal regularization followed by Cross-Linking  Fairly advanced stage only Cross-Linking  Very advanced stage Corneal Transplant CENTRAL CORNEAL REGULARIZATION FOLLOWED BY CROSS-LINKING FIRST STAGE CENTRAL CORNEAL REGULARIZATION This is done by reshaping the cornea; we reduce the size of the cone by Read more Keratoconus

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