Dr Numan Qayyum Sheikh - Eye Surgeon

23/05/2026

👁️ Food for Better Eye Health 🍎🥕🐟🥬

Healthy eyes start with healthy nutrition! A balanced diet rich in vitamins, antioxidants, and omega-3 fatty acids can help protect vision, reduce eye strain, and support long-term eye health.

Include eye-friendly foods such as:
🥕 Carrots
🥬 Leafy greens
🐟 Fatty fish
🥚 Eggs
🥜 Nuts & seeds
🍊 Citrus fruits
🫐 Blueberries
🫑 Bell peppers

Small dietary changes today can help keep your vision healthier for tomorrow.

📍 Dr Numan Qayyum Sheikh
Consultant Eye Surgeon
Gujranwala

21/05/2026

What Do you see???

20/05/2026

ACUTE CONJUNCTIVITIS

Bacterial conjunctivitis is a highly contagious eye infection caused by bacteria. It can spread quickly but is easily managed with the right care.

⚠️ The Warning Signs
* **Redness & Swelling:** Bloodshot appearance in one or both eyes.
* **The “Sticky” Factor:** Thick, yellow, or greenish discharge.
* **Morning Crusting:** Eyelids glued shut upon waking up.
* **Gritty Feeling:** Constant sensation of sand in the eye.

🚫 How to Prevent It
Prevention is all about breaking the chain of transmission.
* **Hands Off:** Wash your hands frequently and avoid touching your eyes.
* **Personal Space:** Never share pillows, towels, makeup, or eye drops.
* **Contact Lens Care:** Switch to glasses immediately if you suspect an infection. Throw away contaminated lenses and cases.
* **Sanitize:** Clean surfaces like phones, door handles, and eyeglasses regularly.

💊 Treatment & Relief
While some mild cases can clear up on their own, targeted treatment speeds up recovery and stops the spread.
* **Antibiotic Eye Drops/Ointments:** Prescribed by an eye care professional to target the specific bacteria.
* **The Comfort Routine:** Use a clean, warm compress over closed eyelids to soothe irritation and gently remove crusting.
* **Finish the Course:** Always use antibiotic drops for the full duration prescribed, even if the eye looks completely better.

> **⚠️ Direct Message Us / Consult an Eye Doctor:** If you experience severe eye pain, vision changes, or extreme sensitivity to light, seek medical attention immediately.

19/05/2026

⚠️ CONJUNCTIVITIS aka PINK EYES ‼️

A young female presented in OPD with complaints of redness, itching and photophobia associated with watery discharge

O/E : Follicles in both Palpebral Conjunctiva

Dx : Viral Conjunctivitis (common these days in our region)

Viral conjunctivitis is a highly contagious infection of the eye, commonly caused by adenoviruses. It usually presents with redness, watering, irritation, burning sensation, and sometimes swelling of the eyelids. One eye is often affected first, followed by the other.

Good hand hygiene, avoiding eye rubbing, and not sharing towels or cosmetics are important to prevent spread. Most cases improve on their own within 1–2 weeks with supportive care such as cold compresses and lubricating eye drops.

⚠️ Seek ophthalmic evaluation if there is severe pain, decreased vision, or sensitivity to light.

17/05/2026

⚠️ ANTERIOR STAPHYLOMA ‼️

Anterior staphyloma is a severe ocular condition characterized by the ectasia (bulging) and thinning of the anterior fibrous coat of the eye, lined posteriorly by incarcerated uveal tissue.

🔍 Key Clinical Features:
• The “Bluish-Black” Appearance: Marked thinning of the cornea/limbus allows the dark pigment of the underlying iris/uvea to show through, giving it a characteristic slate-blue color.

• Etiology: It typically arises as a late complication of a perforated corneal ulcer, severe ocular trauma, or uncontrolled absolute glaucoma.

• Pathophysiology: The structural integrity of the cornea is lost, leading to iris incarceration. Over time, intraocular pressure causes this combined, weakened cicatricial tissue to protrude forward.

• Management: Depending on the visual potential, structural integrity, and presence of pain, management ranges from tectonic penetrating keratoplasty to enucleation/evisceration for cosmesis and pain relief.

14/05/2026

🔍 What is Cycloplegic Refraction?

In simple terms, it’s an eye exam where special drops are used to temporarily relax the ciliary muscle (the focusing muscle inside your eye).
Normally, your eyes are constantly “accommodating”—flexing to see things up close. This muscle is so strong, especially in kids and young adults, that it can “cheat” during a standard eye test, making you appear more nearsighted or less farsighted than you actually are.
🚀 Why It’s a Game Changer:
• Unmasks “Hidden” Farsightedness: Kids can over-focus to compensate for blurry vision, leading to headaches and eye strain. These drops reveal the real numbers.
• Precision for Surgery: If you’re getting LASIK or vision correction, your surgeon needs to know exactly what your eye looks like at rest.
• Treating “Lazy Eye” (Amblyopia): Getting the prescription 100% right is the first step in correcting vision imbalances in children.
• Prevents Over-Correction: Without it, you might end up with glasses that are too strong, actually causing more strain over time.
💡 The Takeaway
Yes, the light sensitivity and blurry near vision for a few hours are a hassle, but it’s the gold standard for accuracy. If you want the clearest vision possible, don’t skip the drops!

11/05/2026

TOTAL HYPHEMA

A 7 year old boy presented in Ophthalmic OPD with history of trauma in right eye

VA - Perception Of Light
IOP - 30

Total hyphema is a condition in which the anterior chamber of the eye becomes completely filled with blood, usually after trauma. The eye may appear dark or black, causing severe reduction in vision and eye pain.

Common Causes

* Blunt eye trauma
* Post-operative bleeding
* Bleeding disorders
* Neovascularization of the iris

Symptoms

* Sudden vision loss
* Eye pain and redness
* Photophobia
* Raised intraocular pressure

Complications

* Corneal blood staining
* Secondary glaucoma
* Optic nerve damage
* Rebleeding

Treatment

* Bed rest with head elevation
* Eye shield protection
* Cycloplegics and topical steroids
* Control of intraocular pressure
* Surgical washout if persistent or complicated

⚠️ Total hyphema is an ophthalmic emergency and requires urgent evaluation to prevent permanent vision loss.

08/05/2026

EYESTRAIN/HEADACHE

Long screen time can cause digital eye strain, leading to dryness, headache, blurred vision, and tired eyes.
The 20-20-20 rule helps relax the eye muscles and reduce stress from continuous near work.

✅ Every 20 minutes
✅ Look 20 feet away
✅ For 20 seconds

This simple habit helps:
• Reduce eye fatigue
• Improve blinking and tear film stability
• Prevent dry eyes
• Relax focusing muscles
• Improve visual comfort during screen use

📱💻 Small breaks can make a big difference for healthy eyes!

06/05/2026

Central Corneal opacity After Foreign Body

04/05/2026

Dissociated Vertical Deviation (DVD)

🔹 What is it?
A form of strabismus where one eye drifts upward spontaneously when binocular vision is disrupted (e.g., covering one eye).

🔹 Key Features
• Slow upward drift with extorsion
• No corresponding downward movement of the fellow eye (dissociated)
• Often bilateral but asymmetric
• Associated with latent nystagmus

🔹 Common Associations
• Infantile esotropia
• Poor binocular fusion
• Early-onset strabismus

🔹 Pathophysiology
Thought to be due to abnormal supranuclear control of eye movements and defective fusion mechanisms.

🔹 Clinical Significance
• Becomes evident on cover test
• Can affect cosmesis more than vision
• May coexist with inferior oblique overaction

🔹 Management
• Observation if mild
• Surgical correction (e.g., superior re**us recession) in significant cases

03/05/2026