Page 30 - Swsthya Winter Edition Vol 1 Issu 3 DEC 2020 Circulation copy BP
P. 30

SURGERY



        Finally: Best Lens vs. Best Candidate… Is it for you?

        Advice prior to contemplating cataract surgery
        We all experience cataracts as we age (though cataracts may be
        congenital,  after  trauma,  or  inflammation).    When  the  cataracts
        affect our lifestyle  (driving, reading, etc.) we may need cataract
        surgery.  It involves removal of the cloudy lens and replacement
        with an artificial crystal-clear lens (Intraocular Implant or IOL).

        Cataract Surgery with IOL is  one of  the most common  surgical
        procedures on the planet.  After surgery you will not need glasses
        for  driving or  watching T.V., but  you may need  glasses  for  close
        work.  If you do not mind this, you do not need to read any further.
        But, if you would like to be independent of glasses, even for reading,
        you have a choice  of  having multifocal presbyopia correcting   Dr VK Raju, M.D., F.R.C.S., F.A.C.S.
                                                              Optalmologist
        lenses. There are many kinds of lenses and the technology keeps
                                                              Clinical Professor, Dept of Ophthalmology
        on improving.
                                                              West Virginia University, USA
                                                              Ophthalmologist, Regional Eye Associates
        If you are a perfectionist; this may not be for you.  The technology
                                                              President and Founder, Eye Foundation of America
        for these lenses is continually evolving, in fact, there are multiple
                                                              President and Founder, Goutami Eye Institute
        lenses on the market.  Discuss this with your Surgeon.  Ask her/him   Clinical Professor, West Virginia University
        questions.  This may be the best thing you could have done for   Director, International Ocular Surface Society
        your eyes.                                            Adjunct Professor, GSL Medical School
                                                                          COVID-19 Vaccine
          Ayurveda practitioners allowed to perform surgeries
          The  Government  of India has   a purpose that helps set boundaries   gets official approval
          announced authorisation  for  the   by specifying the list of procedures
          post-graduate  practitioners  in  so  that  practitioners  restrict
          specified  streams  of  Ayurveda   themselves  to  the set of  surgical   On 2nd December 2020, the UK
          to be trained to perform  surgical   procedures  as mentioned  in the   government  have  authorised  the  Pfizer/
          procedures such as excisions   regulation                       BioNTech COVID-19 vaccine after receiving
          of  benign tumours, amputation   According to the  November  20   independent advice of medicines regulator.
          of gangrene, nasal  and cataract   gazette notification, the procedures
          surgeries.                     listed include removal  of metallic   The government has today accepted the
          India’s statutory regulatory body, the   and non-metallic  foreign bodies   recommendation from the Independent
          Central Council of Indian Medicine   from non-vital  organs,  excision of   Medicines  and  Healthcare  products
          issued  the  notification  listing  39   the simple cyst or benign tumours   Regulatory  Agency  (MHRA) to  approve
          general  surgery procedures and   (lipoma, fibroma, schwannoma etc)   Pfizer/BioNTech’s COVID-19 vaccine for use.
          around 19 procedures involving   of  non-vital  organs, amputation
          the eye, ear, nose  and throat by   of  gangrene,   traumatic  wound
          amending the Indian  Medicine   management,  foreign body removal   This  has followed  months of rigorous
          Central  Council (Post Graduate   from  the stomach,  squint surgery,   clinical  trials  and a  thorough analysis  of
          Ayurveda Education)  Regulations,   cataract  surgery and functional   the data by experts at the MHRA who have
          2016.                          endoscopic sinus surgery.        concluded that the vaccine has met its strict
          The instruction  that  the  Indian   According to the INAS agency, the   standards of safety, quality and effectiveness.
          Medicine  Central  Council (Post   Indian Medical Association  has
          Graduate  Ayurveda  Education)  been openly opposing such policy   The  advice  for the priority  groups to
          Regulations,  2016,  in regulation   to mix modern  medicine  with the   receive the vaccine, include care home
          10, after sub-regulation  (8), the   traditional  systems  of  Ayurveda,   residents, health and care staff, the elderly
          following  sub-regulation  shall be   Yoga and Naturopathy, Unani,   and the clinically extremely vulnerable. q
          inserted, namely -- During the   Siddha, and Homoeopathy (AYUSH)
          period  of  study, the PG scholar   as advocated by the central
          of Shalya  and Shalakya  shall be   government of India
          practically trained to acquaint with   Rajan Sharma, President, IMA, had
          as well as to independently perform   earlier  stated  that an integrative
          the following activities so that after   system of medicine would create
          completion  of his PG degree, he   a “khichdi  medical system”  and
          is  able to perform  the following   would  produce hybrid doctors.
          procedures independently.      Many leading apex body of private
          According to the Chairman  of the   practitioners of modern  medicine
          Board  of  Governors,  CCIM, Vaidya   had also condemned the Centre’s
          Jayant  Devpujari these surgical   ambitious ‘one nation one system’
          procedures are already being   policy  in  medical  education  and
          performed  in Ayurveda  institutes   called it a ‘cocktail of disaster’.
          for over 20 years. It is claimed that   Swasthya editorial team welcomes
          the notification legalises these with   views and comments on this issue.


        30      Volume: 1 I  Issue: 3 I  2020
   25   26   27   28   29   30   31   32   33   34   35