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Outpatient Procedures
 
Appointments


All patients are seen by appointment only. However walk-in patients are also seen keeping in mind the importance of First come first serve basis. We have 24 hour emergency services for Eye Services.

For prior appointments, please email: appointment@nethradhama.org or call us at :
080 26088000 / 26633533 / 26633609 / 22459868 / 26634202 / 26634203
 
Working hours


Outpatient hours are between 9.00 am to 9.00 pm from Monday to Saturday and 9.00 am to 1.00 pm on Sunday. Speciality Clinics work from 9 am to 5 pm on all week days. Emergency cases will be seen at all hours on all days.
 
Outpatient procedures


Nethradhama follows a principle of comprehensive eye examination rather than just addressing the presenting symptom. The basic tests that the patients are likely to encounter during a routine eye examination includes visual acuity testing, refraction (Estimation of power of spectacles of individual), Slit lamp examination, tonometry, dilated retinal examination and other necessary tests, which are prescribed according to the condition of the patient's eye. It may take 1 to 2 hours for a complete eye examination. If, after the check up, doctors suggest examination by other specialists, the process may take 3 to 4 hours for additional tests.
 
Working hours


Outpatient hours are between 9.00 am to 9.00 pm from Monday to Saturday and 9.00 am to 1.00 pm on Sunday. Speciality Clinics work from 9 am to 5 pm on all week days. Emergency cases will be seen at all hours on all days.
 
registration   appointment
 
Appointment


The patient who has taken prior appointment reports to the Front desk to confirm their arrival status. Appointment time is the reporting time a patient reports at the hospital. A Patient who has taken an appointment should report to our Front Desk executives at the appointed time. (Appointment time is not the time a patient meet's the consultant)
 
Registration


At the registration desk, the patient has to fill in a registration form with the necessary details and return it to the Front Desk executives for registration in the hospital information database. The patient is charged Rs.50/- for registration and Rs.300/- as consultation fee, payable at the Cash & Billing counter. The registration fee is a one time fee. The consultation fee is valid for the current visit and one more visit from the date of payment within a month. Nethradhama is one of the few hospitals which has a biometric registration (finger print) to secure patient data.

A unique feature is a self-registration kiosk where patients / attendents can key in their data for registration and this saves time and prevents errors.

The patient is provided with an "identification card" which provides the name of the patient, address, OP and Record file. The patient must bring their ID Card with Record file each time they visit the hospital. The Medical Record is given to the patient for their reference and the same is maintained in the Electronic Medical Record of the hospital.
 
Preliminary Eye examinations


After registration and billing, our OPD and patient coordinators will guide you to the Optometrist for the routine preliminary evaluations
 
Ocular & Systemic history


The medical diagnosis is based on history, clinical examination, and investigations. So you are requested to give the appropriate information about your eye problems which will help your clinician to determine which specific tests or procedures should be performed during the examination. Accurate interpretation and analysis, will lead to a definitive diagnosis and management plan. It includes the chief complaints/reason for the visit, about your visual problem, its duration, regarding your spectacles, contact lenses etc. Your medical history on high blood pressure and diabetes is very important since it can affect your eyes. Family history of any major eye conditions like glaucoma, cataract, retinal problems, usage of thick spectacles etc will help your examiner modify his examinations. Information regarding current medication and hypersensitivity or allergy to any specific medicines like penicillin, sulpha drugs or any dilating drops will help your clinician to take precautionary measures.
 
Visual acuity test   Visual acuity test
 
Visual acuity test


Your examiner will quantify your eye's ability to "see" i.e. to resolve varying letter sizes by automated chart projectors and it is an essential component to determine your refractive status (visual status of the eye). Ultimately this test will be used in the design of spectacles, contact lenses, to formulate a diagnosis and to monitor the effect of treatment in various eye disorders. This test will be performed on all patients at each visit.
 
Refraction


Your examiner will quantify your eye's ability to "see" i.e. to resolve varying letter sizes by automated chart projectors and it is an essential component to determine your refractive status (visual status of the eye). Ultimately this test will be used in the design of spectacles, contact lenses, to formulate a diagnosis and to monitor the effect of treatment in various eye disorders. This test will be performed on all patients at each visit.
 
Slit-lamp Examination


The Slit lamp is an instrument which is used to examine the health of your eyes. The Slit lamp, also called a biomicroscope gives a highly magnified image of the structures of the eye in order to thoroughly evaluate them for signs of infection or disease. The patient's chin is kept on the chin rest of the Slit lamp and the doctor looks through a set of oculars and examines the front of the eye (lids, cornea, conjunctiva, iris, etc). Then, with the help of a special high-powered lens, the doctor will view the inside of the eye (retina, macula, optic nerve etc). A whole range of eye conditions and diseases can be detected with Slit-lamp examination, including cataracts, macular degeneration, corneal ulcers, diabetic eye disease etc.
 
 
Slit-lamp Examination
 
Tonometry


The technique of measurement of pressure within the eye (Intra ocular pressure – IOP/IOT). This is very important since IOP is one of the indicators of Glaucoma. Tonometry is recommended in everyone over the age of 40, family history of glaucoma, Myopia, Diabetes and any history of previous ocular injuries. This technique is performed with:
 
Dilatation


Dilating drops are drops that are put into the patient's eye to make the pupils bigger in order to get a better view of the internal structures of the eye. The pupil is like a window to the inside of the eye which is opened wider by the dilating drops. Dilating drops usually take about 20 to 45 minutes to start working. While the dilating drops are instilled, you will be sensitive to light (because more light is getting into your eye) and may notice difficulty in focusing on objects up close. Once the drops have taken effect, the doctor will use a variety of instruments and light sources to look inside the eyes. Dilatation is very important for people with risk factors for eye disease, because it allows for the most thorough evaluation of the health of the inside of your eyes. After your eyes are dilated, your vision will be blurred for 6-8 hours and you may not be able to see normally. You may require someone to take you back home and advised not to drive.
 
 
Dilatation
 
Referral to Speciality Clinics


The patients are first examined in the General OPD. If the doctor finds that the patient needs a specialty consultation, the patient is sent to the respective speciality clinic (retina, glaucoma, cornea, contact lens, refractive services or oculoplasty) depending on the nature of the problem.
 
Patient counselling


If the patient has cataract he or she is sent to the counselling department and advised for surgery. The patient can clarify doubts regarding the surgery, facilities, charges and insurance claims. Patients can book an appointment for surgery in the counselling department.
 
 
Patient counselling
 
 
Summary


Nethradhama Superspeciality Eye Hospital follows these outpatient procedures as one of the standard operating protocols of comprehensive eye exam. This will ensure accurate results and the most thorough evaluation of your eyes. Contact lens evaluation, laser surgery work ups and pediatric eye exams often require additional, more specialized tests.
 
 
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