Dr. Romit Salian

Dr. Romit Salian

Qualifications M.B.B.S M.S F.V.R.S
Bio VItreoretinal surgeon and uveitis consultant
Papers Published
Jones procedure for recurrent entropion Maharashtra State Conference 2014 Year: 2014
A study comparing OCT-A with FFA in patients with diabetic macular edema with respect to FAZ AIOC Year: 2018
Analysis and Outcome of Traumatic 3rd, 4th and 6th Cranial Nerve Palsies OTSI Year: 2018
Tersons Syndrome AIOC Year: 2020
Autosomal dominant CME MOS Year: 2020
Publications
Ranjan R, Manayath GJ, Salian R, Narendran V. Methoxsalen-induced advanced bull’s eye maculopathy. European Journal of Ophthalmology. February 2020. doi:10.1177/1120672120907317 Year: 2020 View Publication
OCT ANGIOGRAPHY FOR DIAGNOSIS AND MANAGEMENT OF CHOROIDAL NEOVASCULARISATIONSECONDARY TO CHOROIDEREMIA. AMERICAN JOU… RANJAN R, VERGHESE S, SALIAN R, MANAYATH GJ, SARVANAN VR, NARENDRAN V. Year: 2021 View Publication
PEDIATRIC CHOROIDAL NEOVASCULARIZATION- ETIOLOGY AND TREATMENT OUTCOMES AND ANTI-VASCULAR ENDOTHELIAL GROWTH FACTORS. EUROPEAN JOURNAL OF OPHTHALMOLOGY RANJAN R, SALIAN R, VERGHESE S, D’SOUZA P, KANAKATH A, MANAYATH G, SHAH P, SARAVANAN VR, NARENDRAN V Year: 2021 View Publication
Awards / Achievements
Runner-up of OTSI Quiz 2016 Coimbatore Year: 2016
Runner-up of Phaco-refractive decoded Coimbatore Year: 2017
Faculty in AIOS PG Year: 2019
Faculty in “Ophthalmology San frontiers” An Aravind-University of Illinois, Chicago collaborative conference Year: 2019
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Eye heaviness in morning after cataract surgery

Cataract surgery is the most common operation on the human body. It has a high success rate and produces satisfying results for both patients and clinicians. Some patients may experience little discomfort following cataract surgery. It might range from mild to considerable discomfort depending on the patient's sensitivity and the type of cataract removal method employed. Cataract surgery has evolved into a low-risk refractive treatment. In cataract surgery, an incision over the cornea (the front transparent region of the eye) is necessary to gain admission within the eye and access to the lens to be replaced. This incision disrupts several connections between neurons and nerves in that area of the cornea. Such incisions may create discomfort in the patient. Healing in this area can provide unusual sensations. Though superficial healing happens in 5 to 7 days, the ultimate healing reaction occurs on a cellular level for 3 months. This can also have an impact on tear secretion. If a patient already suffers from dry eyes syndrome, surgery may cause further difficulty. Although there is minimal inflammation inside the eyes following cataract surgery or other intra-ocular surgery, this inflammation might cause discomfort. Although the frequency of inflammation is relatively low with modern cataract surgery, pre-existing inflammatory conditions such as anterior uveitis, glaucoma, and dry eyes can cause further irritation and discomfort. Following cataract surgery, a few eye drops must be given. Patients with disorders such as glaucoma, for example, would need to use significantly more eye drops after cataract surgery. Because of the preservatives in the eye drops, this can cause considerable discomfort. In such cases, preservative-free drops are important, and drops should be used according to the doctor's instructions rather than according to personal preference. Patients with particular diseases, such as diabetes, Fuch's dystrophy, recurrent corneal erosion syndrome, and LSCD, may experience severe eye discomfort after cataract surgery due to unusual corneal innervation, weak corneal structure, and altered healing response.
Reviewed by Hetal Sojitra • Dec 19, 2023
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Why do I see wavy lines after cataract surgery?

There are many reasons behind such a usual phenomenon after undergoing a cataract surgery. These discomforts such as wavy lines, blurry vision, and haziness persist for some days or even a couple of months after surgery.  
The possible reasons are neural adaptations (brain adjusting with the new lens), presence of Epiretinal membrane, and reduction in contrast sensitivity, which are common in patients with multifocal intraocular lens (IOL). All these post-cataract surgery symptoms are termed as dysphotopsia.
However, 3 major factors contributing to the wavy vision are as follows: 1. Cystoid Macular Edema involves swelling of the centre of the retina known as the macula. This mostly happens after cataract removal, which is a post-operative inflammation. This causes the blood vessels in the macula to swell and leak fluid, making straight lines appear wavy 2. Dislocation of the Intraocular lens that you have surgically placed can lead to such vision distortion 3. Retinal detachment, as just after the cataract surgery the tissue from the surrounding sides of the retina pulls away from it. The retinal tissue is responsible for processing the light.
Reviewed by Dr Bhargav Raut • Dec 11, 2023
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Focused lights or flickering after cataract surgery

After cataract surgery most patients experience one form or another of light flickering. This is normal and is part of the healing process while the capsule contracts around the new intraocular lens. After several weeks of adaptation this flickering should stop and go away. If you are experiencing continuous flickering after cataract surgery it may be caused by one of the following 1. increased light sensitivity due to the newly implanted intraocular lens 2. Increased light sensitivity due to corneal oedema 3. Increased light sensitivity due to raised intraocular pressure 4. A tear or hole in the retina ( retinal detachment or retinal tear) 5. Anterior uveitis due to surgical trauma 6. Shaking of the intra-ocular lens because of instability of the lens 7. Vitritis ( inflammation or infection in the vitreous jelly of the eye)
Dr. Aditya Raut photo Reviewed by Dr. Aditya Raut • Aug 28, 2023
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