Frequently Asked Questions

Yes, we welcome walk-in patients. However, scheduling an appointment in advance is recommended for timely service.

We offer a range of procedures including cataract surgery, LASIK, vitrectomy, and other advanced ophthalmic surgeries.

Absolutely. Our clinic is well-equipped with state-of-the-art technology to provide comprehensive eye care services.

Our medical team, led by Dr. Azeem, is highly experienced and dedicated to providing thorough and compassionate care.

Our clinic operates from 9:30 AM to 9:30 PM, every day of the week. Please call us before you come.

It is not common but possible. Usual causes are genetics, tuberculosis, and diabetes.

Unfortunately, cataract can only be treated with surgery. The good news is that it is an elective surgery.

Orbital cellulitis can be vision-threatening, and if not treated early, can become life-threatening.

These symptoms are probably migraine-related. Keep a disciplined routine and take regular medicine as advised by your doctor.

The starting price is PKR 45,000, and can range up to 100,000 and above, depending on various factors.

Headaches caused exclusively by eye problems are less likely. Please also work on improving your sleep.

Hyphema is blood in the anterior chamber of the eye. Mild cases resolve with drops; otherwise it needs drainage by an eye surgeon.

After you take your asthma medication, our cataract surgery at Ismail Eye Surgery takes around 10 minutes, and we keep you in a tilted position with your head slightly raised.

You are actually a little late. If you are healthy and mobile, do not wait for another reason to stop you from getting your eye surgery. We are among the best eye specialists in Faisalabad.

Iris coloboma is a small defect in the coloured part of your eye. It may be associated with other defects in the eye as well.

It would be better if you book an appointment. It seems you need a toric IOL.

If your vision is okay, you do not need to worry. Mild bleeding is common after cataract surgery and usually resolves within a week.

You should control your sugar and see an eye doctor for a fundoscopy.

Your eye pressure (IOP) can be high, your cup-to-disc ratio can be asymmetric and increased, and visual field loss confirms the diagnosis of glaucoma.

Your vision is probably blurry due to cycloplegic drops. Once you stop these drops on your doctor's advice, your vision will improve.

We use AI as a tool and keep a human in the loop, meaning AI expands what we can do, while a human always makes the final decision.

This surgery is done under general anaesthesia at Ismail Eye Surgery.

Patients with diabetic retinopathy should control their sugar and keep their HbA1c at around 6.

Yes, it can. Conditions such as corneal ulcer, uveitis and keratitis can all lead to decreased vision.

We manage retinitis pigmentosa. The vision loss is gradual, and we cannot stop that. There are some associated conditions with retinitis pigmentosa that we also have to treat, such as cataract.

It depends on your motivation. As far as a surgical option is concerned, an ICL would be an option to help you become glasses-free.

It refers to cornea replacement surgery. The cornea is the front-most part of the eye. If the remaining parts of the eye are working fine, the cornea can be replaced with a healthy cornea from another person. This is usually called eye replacement surgery.

Uncontrolled diabetes and smoking are risk factors that can damage critical parts of the eye, such as the retinal vessels and optic nerve. In your father's case, the optic nerve has likely been damaged due to uncontrolled sugar and continuous smoking.

You are showing symptoms of presbyopia. You need near glasses while performing laser procedures on your patients.

Most probably she is “undercorrected” and needs an IOL exchange surgery. Undercorrection means her lens power in the first surgery was lower than what she actually needed.

Retina problems usually have limited success even after surgery, since the retina is a thin layer at the back of the eye that gets damaged by uncontrolled diabetes. His vision in the right eye is unlikely to improve with glasses. Many people label this as glaucoma because the optic disc can turn pale after the PRP laser done during retina surgery. What he needs to do is control his sugar, so he can protect the vision in his other eye and live independently.

We are among the best eye hospitals in the area, and we have integrated partners locally and internationally.

If you are asking about refractive surgery compared to the past, it is very safe now. Patient selection is key in every eye surgery, the right surgery for the right patient. Cataract surgery has many challenges, for example uncontrolled diabetes is one big factor. Similarly, in glaucoma surgery patients usually decide late and should have realistic expectations. Squint surgery usually has a good outcome, as does ptosis surgery. Retina surgery has more limited results, although it can still save patients from going blind.

Usually it is just drops, used for 3 to 4 weeks. Some patients might need oral analgesics right after surgery. In other cases, your doctor can decide on your particular need for oral medicine.

As we age, the challenges do increase, and sometimes the thought of adding another appointment or procedure to the list feels overwhelming. But here is the crucial truth: the right time for cataract surgery, for patients like your mother, is today.

The European Medicines Agency (EMA) has recently reviewed the safety of semaglutide medicines such as Ozempic, Rybelsus, and Wegovy. Their safety committee (PRAC) concluded that these medicines may very rarely cause an eye condition called non-arteritic anterior ischemic optic neuropathy (NAION), which can lead to sudden vision loss.

CSR is an idiopathic inflammation of the choroid, so it is good news that the fluid under the NSR has resolved. If vision has not improved, one possible reason is that some fluid may still be present. Creatinine will not help improve the vision.

There are some rumours of drops that dissolve cataracts, but nothing concrete is available in the market yet. Even if such drops existed, the space would still need to be replaced with an artificial lens. If you have diabetes, hypertension, or are taking steroids, good control of these conditions will slow down cataract formation.

Brimonidine is not typically used for pupil size control; it is mainly used to lower eye pressure (IOP). If anything, it can dilate the pupil further and worsen photophobia. Brimonidine acts on the alpha-2 receptor in the iris and ciliary body to lower IOP. If your doctor were trying to constrict your pupil at night, an alpha receptor agonist would only dilate it further. You would need pilocarpine, an M3 receptor agonist, to constrict the pupil and possibly help your symptoms. Please discuss this directly with your doctor.

Surgery is typically considered when the deviation is large, frequent, or affects vision and quality of life.

No, you will likely regret it. The cornea is already thin, and operating on it can lead to corneal ectasia or regression.

Doing it is a wise option. It will help keep him independent. Otherwise, he will become completely dependent. He deserves to have all the available options considered.

Thanks for sharing your experience. Since it has only been two days after your surgery, it is normal to feel some discomfort. What you are describing, the edge effect and “seeing the IOL”, is something we don't usually hear this strongly with monofocal IOLs. PanOptix is a premium lens with mires built into its design, and when light hits those, some patients feel uncomfortable, which is why dim lighting helps in the early days. If you are physically active and work regularly, these symptoms may feel more noticeable, even with 20/20 vision. Please give it at least 2 weeks before judging the final outcome. If after 2 to 3 weeks you still don't feel comfortable, switching to a monofocal IOL can be discussed with your surgeon.

This is most likely PCO (posterior capsular opacity), or in some cases remnant cortical matter from the previous surgery. In either situation, the best person to advise you would be the surgeon who performed your original surgery; a second opinion from another surgeon is also reasonable. PCO is treated with a capsulotomy, and the IOL can be exchanged afterwards if needed. Please don't worry.

No single test is 100% reliable on its own. A combination of visual field testing and OCT RNFL helps a doctor detect glaucoma early. Central vision is tested because we rely on it for almost all everyday function, while peripheral vision mainly supports spatial awareness, position relative to other objects, and related functions.

It is common for pressure to take some time to settle after SLT, and your doctor will assess the full response at your follow-up visit while you continue your current drops. SLT works by opening the eye's drainage meshwork, but it does not work equally well for every patient. Please continue attending your follow-up visits so your doctor can track the trend over time.

In our experience, a surgeon may react firmly when a patient makes a sudden, unexpected eye movement at a critical step of the surgery, since that moment carries real risk. Experienced surgeons prepare for this possibility and usually manage it well. It helps to build a good rapport with your surgeon and to follow their advice closely going forward, keeping in mind that both patient and surgeon are human.

The best option is usually a multifocal or extended-depth-of-focus (EDOF) IOL. This can help you become glasses-free after surgery.

Congratulations on your wedding, and we understand your concern. No lens can temporarily correct exotropia. What you can do is ask your photographer to avoid angles and close-up shots where the squint is most noticeable.

Unfortunately, you are not an ideal candidate for refractive laser surgery. However, small or high-power eyes can be offered an EDOF or multifocal IOL after a thorough workup and discussion.

If you have already undergone amblyopia therapy and it did not work, further improvement is less likely. That said, a trial of therapy can still be planned at any age.

I think you need a proper trabeculectomy with MMC. A target IOP of around 7 to 8, or lower, may help preserve your remaining vision.

There is no single fixed interval, but a check-up every 6 to 8 months is generally a reasonable schedule.

A monofocal IOL is usually the safer option in a case like this. It's reasonable to avoid further experimenting with premium lenses given her experience so far.

Before discussing treatment, the most important step is to confirm the correct diagnosis. Most macular disorders have limited treatment options, and management is usually supportive rather than curative.

It's likely you have small eyes, and performing an IOL exchange in such an eye carries real risk. I would recommend a conservative approach and would not advise further surgery, especially since you rely mainly on one functioning eye.

To date, a detached retina can only be reattached, and even that surgery has limited success; a retina cannot be transplanted. Some experimental devices with external sensors are being trialled to help fully blind patients navigate, but this technology is not yet widely available.

Anti-VEGF treatment does not work for commotio retinae.

Yes. Bio-optic glasses are essentially built-in telescopes, special magnifying devices used to enlarge the image for patients with reduced central vision.

Nicotinic acid, or niacin (vitamin B3), is considered beneficial for optic nerve health.

Usually it is not fully blinding, but teachers, parents, peers and everyone around the affected person should be supportive, as they have to live and function with it long-term.

Treatment depends on the stage and grade of the tumour.

Neuroprotective drops help safeguard retinal ganglion cells while also reducing IOP. Among them, alpha-2 adrenergic receptor agonists lower aqueous production and may offer additional optic nerve protection, because preserving vision means protecting the nerve, not just controlling the pressure.

In selected cases of corneal blindness, the Boston Keratoprosthesis can restore vision when standard corneal grafts are not suitable. It is a specialised device that must be specially ordered and is not readily available.

This condition is mainly managed or treated non-surgically.

A young patient with sudden vision loss in one eye plus pain on eye movement should raise suspicion of optic neuritis. Early treatment with 3 days of IV steroids followed by 7 days of oral steroids can shorten the recovery time.

Yes, we welcome online consultations. Message us on WhatsApp at +92-321-7825861 and we will walk you through the process.

No. Punctal plugs are typically used in specific cases: aqueous deficiency (for example Sjogren's syndrome) to retain tears, severe dry eye to reduce drop use, post-LASIK dryness for temporary support, contact lens-related dryness to improve tolerance, and neurotrophic cornea to help maintain moisture.

Yes. Nystagmus is not always a barrier to cataract surgery, and selected patients can successfully undergo the procedure under topical anaesthesia.

This is a difficult, finely balanced situation. 85 is a late age for trabeculectomy, since post-operative care requires multiple visits. Ideally it would have been done 20 to 25 years earlier. Her mobility is also already limited by MG. In a fragile situation like this, you are unlikely to get the best outcome from any procedure unless it is truly sight- or life-saving.

If the disease is progressive, please consider trabeculectomy with MMC. Newer options like stents and SLT are mainly useful in the earlier stages of disease. If the condition has already been present for around 20 years, repeating a lower-impact option may not make sense; a more definitive procedure is usually the better path forward.

The redness is completely normal and is caused by temporary mild bleeding under the conjunctiva (subconjunctival haemorrhage) from the surgery. It will gradually fade over the next few days to weeks, and using the prescribed eye drops regularly will help soothe the eye and speed up recovery.

Yes. We offer a comprehensive eye evaluation that may include an optic nerve examination, OCT RNFL, retina and macula examination (after pupil dilation), and a visual field test where indicated.

• Optic Nerve Examination
• OCT RNFL
• Retina/Macula Examination (after pupil dilation)
• Visual Field Test (if indicated)

Please arrive 10 to 15 minutes before your scheduled appointment. If your pupils are dilated, you may experience temporary blurred vision, so bringing an attendant is recommended.

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Asthenopia (eye strain) and anisometropia are generally not directly related. Asthenopia refers to symptoms such as eye fatigue, discomfort, or headache after prolonged visual tasks, while anisometropia means there is a significant difference in refractive power between the two eyes. If a lazy (amblyopic) eye occasionally turns outward, prolonged near work and long hours focusing on close objects can contribute to this. During extended near tasks the eyes may temporarily lose binocular coordination, a phenomenon called dissociation, allowing the weaker eye to drift outward. This can become more noticeable when you are tired, concentrating for long periods, or not actively using both eyes together.

#lazy eye   #amblyopia   #anisometropia   #eye strain   #asthenopia   #outward drifting eye   #intermittent exotropia   #binocular vision   #eye alignment   #ophthalmologist

Reverse hypopyon is the accumulation of emulsified silicone oil in the upper part of the anterior chamber after vitrectomy surgery with silicone oil tamponade. Because silicone oil is lighter than the aqueous fluid, it floats upward and collects beneath the upper eyelid, giving the appearance of a "reverse hypopyon." In some cases, especially if it causes increased intraocular pressure, corneal damage, or significant symptoms, it may need to be removed by an eye specialist.

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Traumatic optic neuropathy is a serious injury to the optic nerve caused by trauma. Unfortunately, the visual prognosis is generally poor, especially when there is severe optic nerve damage. Even a completed MRI cannot guarantee vision recovery. In many patients the optic nerve gradually develops secondary optic disc pallor (optic atrophy), indicating permanent nerve damage, which means significant visual recovery is less likely in most cases.

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Patients with Stargardt's disease may benefit from a low vision assessment and appropriate visual aids. In Faisalabad, you can visit the Low Vision Aid (LVA) Department at Allied Hospital-I (near Sargodha Road) or Madina Teaching Hospital (Sargodha Road) for assessment and guidance on suitable low vision devices.

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Multifocal IOLs may not be the best choice for glaucoma patients. Glaucoma can reduce contrast sensitivity and visual quality, and these problems may become more noticeable as the disease progresses. In many glaucoma patients, a monofocal or other carefully selected IOL is the safer choice.

Smoking and vaping expose the body to harmful chemicals and oxidative stress, which may adversely affect the optic nerve. However, current evidence does not conclusively prove that cannabis or vaping directly accelerates glaucoma progression independent of IOP. The most important modifiable factor remains good IOP control and regular glaucoma follow-up.

Previous LASIK makes IOL calculation more challenging. If using an IOLMaster, commonly preferred options include Barrett True-K or Haigis-L/True-K based calculations, depending on the available measurements and software. Whenever possible, comparing multiple modern formulas is better than relying on a single calculation.

No. Once an Ahmed Glaucoma Valve has extruded from the eye, it is generally not suitable for reimplantation because of the risk of infection and contamination. If glaucoma treatment is still required, your ophthalmologist may consider alternative surgical options.

Ozempic (semaglutide) has been associated with a risk of non-arteritic anterior ischemic optic neuropathy (NAION), which can cause sudden vision loss. We recently saw a patient on Ozempic with sudden vision loss, where the visual field and OCT RNFL findings pointed toward a neurologic cause. If you are taking Ozempic, it's worth remembering that it is not without possible effects on the eyes.

For a large conjunctival cyst, particularly a conjunctival inclusion cyst, imaging may be recommended to determine its size and extent. Treatment is usually marsupialisation or complete surgical excision, depending on the size, location and characteristics of the cyst. Simply aspirating or draining the cyst with a needle may not remove its epithelial lining, so the cyst can recur.

Shingles affecting the eye can cause severe inflammation inside the eye (vitritis) and, in aggressive cases, retinal necrosis. Retinal involvement can have a poor visual prognosis and requires urgent ophthalmic assessment and treatment.

Reference: Kanski Vol. VII, page 445.
It will increase the resolution of acute retinal necrosis in the effected eye and reduce the risk of second eye (healthy eye) involvement. But it will not prevent retinal detachment (RD).

Reference: Kanski,Elkington

Reference: Local Market

Several monofocal IOL options are available. The following table lists commonly available lens brands and their countries of origin.