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About Dr. Gaurav Mangla

Dr. Gaurav Mangla is an ophthalmologist and eye surgeon with a clinical focus on cataract surgery, vitreoretinal care, retina-related conditions, glaucoma and comprehensive eye treatment. He is a Consultant Eye Specialist at Vasu Eye Institute & Skin Centre, Bathinda.

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• Careful, unhurried consultations
• Detailed retinal and glaucoma examination
• Cataract and retina expertise

Cataract: clouding of the natural lens

A cataract is a clouding of the natural lens inside the eye. The lens sits behind the pupil and focuses light onto the retina. When it turns cloudy, vision becomes blurred, colours look faded and glare from headlights or sunlight can increase. Cataracts usually develop slowly and are common with ageing, although diabetes, eye injury, long-term steroid use and some inherited factors may contribute. Children can also be born with, or develop, cataracts.

Surgery replaces the cloudy lens with a clear artificial lens called an intraocular lens (IOL). Dr. Gaurav Mangla performs phacoemulsification, where the lens is broken into tiny pieces and removed through a very small opening, as well as small incision cataract surgery and foldable IOL implantation. Some people later develop a cloudy membrane behind the lens, which can be treated with a short Nd-YAG laser capsulotomy. The best approach depends on individual clinical evaluation.

• Blurred or cloudy vision
• Glare or halos around lights at night
• Colours that look faded or yellowed
• Frequent changes in glasses power

Diabetic retinopathy

Diabetes can damage the tiny blood vessels of the retina. In the early stages there are often no symptoms at all, which is why vision can seem normal while changes are already developing. Over time the vessels may leak, swell or close off, and fragile new vessels can grow and bleed. Swelling at the centre of the retina can blur reading vision.

People with diabetes are usually advised to have a dilated retinal examination at least once a year, or as often as their doctor suggests. Keeping blood sugar, blood pressure and cholesterol under control helps protect the eyes. Depending on the stage, management may involve regular monitoring, laser treatment, injections into the eye or surgery.

• Yearly dilated retinal check-up
• Bring recent sugar and HbA1c reports
• Report sudden blur or new floaters at once

Ocular trauma and eye injuries

Eye injuries can happen at work, on the road, during sport or at home. Even an injury that looks minor can hide serious damage, so every eye injury deserves prompt medical evaluation. Do not rub the eye, do not press on it, avoid home remedies and do not wash it with unclean water. Cover it loosely with a clean shield and go to an eye doctor.

Care may include repair of corneo-scleral tears, removal of foreign bodies from inside the eye, management of vitreous haemorrhage, treatment of a displaced lens and reconstruction of the front of the eye. The plan depends entirely on the type and depth of injury.

• Corneo-scleral tear repair
• Intraocular foreign body management
• Traumatic vitreous haemorrhage
• Lens dislocation and anterior segment reconstruction

When should you get your eyes checked?

Do not wait for a yearly reminder if something changes. Book an eye evaluation if you notice any of the following, and see a doctor at once for sudden changes.

• Sudden loss, blur or distortion of vision
• New flashes of light or a shower of floaters
• Eye pain, redness, or any injury
• Diabetes: a dilated retinal exam every year
• A family history of glaucoma or retinal disease
• Children who squint, sit very close to screens or hold books near
• Everyone over 40: a baseline check-up

What to expect at your consultation

A visit begins with a conversation about your symptoms, medical history and medicines. Your vision and eye pressure are measured, the front of the eye is examined under a slit lamp, and in most cases the pupils are dilated so the retina and optic nerve can be seen clearly. Imaging such as OCT may be used where needed.

You will then hear what was found, what the options are and what each involves. The decision is always yours. Bring your old prescriptions, reports, a list of your medicines and, if you have diabetes, recent sugar reports. Dilating drops blur vision for a few hours, so come with someone if you can. Eye care timings are 9 AM to 3 PM.