Dr. Pradhan's Eye Care

Dr. Pradhan's Eye Care Dear followers of this page. Dr Pradhan’s EYECARE as a physical entity doesn’t exist anymore medical director. Professor at MGM medical college, Kishanganj.

Dr. Rajan Pradhan graduated from Madras Medical College which is one of the oldest and premier institutes not only in India but worldwide which opened in 1835.Then he completed his M.D. in Ophthalmology from India's number one medical institute, the All India Institute of Medical Sciences, (AIIMS), New Delhi. He has also had further training in cataract surgery, phacoemulsification and corneal diseases from Wolfsen Medical Centre, Tel Aviv, Israel. Dr. Pradhan has worked in Darjeeling, Sikkim, Kathmandu and Siliguri in various capacities. In Darjeeling he was the District Program Manager under the National Program for Control of Blindness where he was instrumental in conducting enumerable free surgical eye camps for the underprivileged visually impaired patients. In Siliguri, he has worked in both the Lions eye hospitals and was instrumental in establishing their eye banks of which he was the hon. He has also had a stint in teaching medical postgraduate residents as Asst. Dr. Pradhan's jewel in the crown hour was when he was appointed the Vice President, clinical operations by The Hans Foundation to help establish a not-for-profit eye hospital in Haridwar. He oversaw it from the planning stage until it became operational. He contributed in performing up to seven thousand phaco surgeries for the poor blind patients of Uttarakhand and UP. Dr. Pradhan's sub-speciality interests other than cataract are cornea, glaucoma, oculoplasty, eye trauma and community Ophthalmology.

27/11/2025

The Problem is Insulin Resistance
Since we are in the final week of world diabetes month, it is relevant to talk about the condition a lay person understands.
Insulin is the hormone that helps glucose enter your cell. Insulin resistance is a condition where the body's cells don't respond normally to the hormone insulin, leading to higher blood glucose levels and potentially prediabetes or type 2 diabetes. It is often caused by excess body fat, especially around the abdomen, and an inactive lifestyle, but can also be linked to genetics and certain medical conditions. Symptoms are often not present, and the condition is frequently diagnosed during routine medical tests, but signs like dark skin patches (acanthosis nigricans) or high blood pressure can occur. Lifestyle changes like a healthier diet anregular exercise are the most effective ways to improve insulin sensitivity and manage the condition. What it is A condition where your body's cells stop responding to insulin, a hormone that helps glucose (sugar) from your food get into your cells for energy. This makes it harder for glucose to enter the cells, causing it to build up in the bloodstream. This can lead to high blood sugar levels and, if the pancreas can't keep up, the development of prediabetes and eventually type 2 diabetes. Causes and risk factors Excess body fat: Particularly around the abdomen (belly fat), which can interfere with insulin's function. Physical inactivity: A sedentary lifestyle contributes to insulin resistance. Diet: A diet high in processed foods and sugary drinks is linked to the condition. Genetics: Family history increases your risk. Other factors: This includes certain medications, sleep apnea, and hormonal disorders like PCOS. Symptoms Often, there are no noticeable symptoms, and it's detected through blood tests. Acanthosis nigricans: A thickening and darkening of the skin, often in the armpits, groin, and neck. High blood pressure: Readings of \(130/80\) or higher. High triglyceride levels and low HDL cholesterol: May be detected in blood tests. Management and prevention Weight loss: Losing even a small amount of weight, especially from around the liver, can significantly improve insulin resistance. Exercise: Regular physical activity, like walking or taking the stairs, can help your body become more sensitive to insulin. Healthy diet: Eating a balanced diet rich in fruits, vegetables, and lean protein, and limiting sugary drinks and processed foods. Manage associated conditions: Working with a healthcare provider to manage conditions like PCOS or fatty liver can also help.

26/11/2025

This is the last week of November so Diabetes month is still a few days left . Being such a devastating disease affecting from the head to the toes and some of the conditions are quite severe that a mention must be made. High blood sugar can lead to stroke of the brain or heart attack. Long standing diabetes can cause kidney failure which will require frequent dialysis which can be a life saver. When the autonomic system is affected asilentheart attack will occur shown on the ECG only. Peipheral neuropathy causes peripheral nerve damage so peripheral sensationd the foot are list. Injutires ocvur that eill notheal.
Gor the ophthalmogust , what goes inthe eyes important. Cataracts can come early and si doeds glaucome. In the retina. D
Small 🧂 vessels begin to het blocked and leak, new blood form, there id s bleeding inthe form dot or vvothsemirrhGrs. As this obscures bision especially when the ov ur in themacula, emtrL bision can be list. Yjdtrre latext invetigstionidLities calkef OCT and angiogrYwhich ei tellwhivh part is bleedimg or blovckrd. Thr treTment is laser ofr Antivegf.

20/11/2025

November is diabetes awareness month Yes. November is recognised worldwide as Diabetes Awareness Month, and 14 November is observed as World Diabetes Day in memory of Sir Frederick Banting, who helped discover insulin.
Since diabetes affects the body from head to toe as well as the eyes, I will become a diabetologist this month to bring awareness to all my patients, both with diabetes and without it. There are two types if diabetes, viz., type 1 and type 2. Type 1 diabetes occurs in children wherein the pancreas doesn’t produce any insulin. Therefore , before the discovery of insulin by Sir Fredrick Banting one hundred years ago, children with this type of diabetes would invariably die. In this great doctor’s honour 14 November ( birth anniversary) is observed as World Duabetes Day and the whole of November as diabetes awareness month. Patients with type 1 diabetes need insulin everyday and will lead a normal life .
Is diabetes a disorder or disease?
This all depends on several factors like genetics, lifestyle and food habits. If you have a little above normal blood glucose, it can be taken care of by changing your food habit, doing some exercise and very rarely taking a bare minimum medication. Then this can be labelled a disorder.
On the other hand if you are careless about your food habit, lead a sedentary life and not go to the doctor for check ups, it can turn into a disease which can affect the brain, eyes, heart, kidneys as well as the feet ( diabetic foot which can turn gangrenous and may have to be amputated).
Food to take: you can continue with whatever you have been eating, eg carbohydrates, proteins, vegetables etc. but south Asians tend to eat more carbohydrates and less of the other nutrients. Therefore India had been declared the diabetes capital of the world! 75 million Indians have type 2 diabetes and it’s steadily increasing. The rule is to divide the plate into half. One half should contain vegetables, especially the green leafy ones. The other half is again divided equally, ie one quarter is filled with carbohydrates like rice or rotis. The other quarter has to contain protein, vegetable protein being superior to animal protein. Dal , rajma, soyas, eggs, paneer, mushroom are good sources of protein. But the yellow of eggs contain cholestrol so must be limited. Chicken and fish are good sources of animal protein. Red neat is best avoided. Of course milk and milk products also give you good healthy protein. Cooking oil provides the fat in your diet. Not which one but how much is more important. Any vegetable oil is ok but use it in less quantity.
What about fruits? Most people are afraid of fruits because they are sweet but their sweetness is covered with fibres . Antioxidants, poly phenols and vitamins so all fruits are good to take. The ones with high glycemic indices are banana, mangoes, grapes and melons. They are to be taken in lesser amount. Bananas have a lot of potassium which is good for you. The best ones for diabetics are guavas, papayas, apples and all types of berries. Jamun also is good.
What about food supplements? Ingredients like turmeric, ginger, cinnamon, hot peppers , chia seeds are all healthy to take but in no way are cures for diabetes. There is no cure but in the early stages such as the pre diabetes stage, it can be reversed two thirds of the time but when it becomes full fledged, it can be controlled.
How to get your diabetes under control?
For one, you must visit your doctor and listen to what he says and take the medicines he prescribes. Blood sugar has to be checked regularly and equally important is to get the Hb A 1 C checked every three months . This investigation gives you a fairly good idea of how your blood glucose is controlled over a 90 day period. Diabetics are recommended to keep it under 7% ; if it can be bettered, so much the better.
What about exercise? Aerobic exercise like dumb bell training or just walking for half an hour is a good way to control your blood glucose levels. Consult your physician before starting any kind of rigourous exercises .
So much for now. Take the above advice seriously and take care.

16/11/2025

Cataract remains the quiet burden of blindness in India. It blinds millions not through drama but through slow, dimming sight that steals work, dignity, and independence. The numbers are large because poverty delays care, distance blocks access, and fear keeps many away until vision has almost vanished.

Over the years, the country has built a strong network of surgical services. Government programmes, large NGO hospitals, and corporate chains perform high-volume surgeries that have lifted countless people out of darkness. Yet the system has a gap - a human gap - where independent surgeons working in small towns and rural edges are left standing alone.

A standalone ophthalmologist carries the weight of service with little support. You train your team, keep your doors open, and offer care to people who walk in with hope. But funding rarely reaches you. Grants, partnerships, and donor attention flow to big institutions that speak the loudest, even when their work becomes mechanical and their compassion thin. The surgeon in the small theatre, running camps from borrowed vehicles and treating patients who cannot pay, remains invisible.

This is a loss for the nation. When committed surgeons are left without resources, their skill drains away. Human potential is wasted. Communities suffer because the surgeon who truly understands their needs is never empowered.

What more needs to be done is simple but not easy. India must widen its circle of support. Funding mechanisms should recognise individual surgeons and small centres that deliver honest, personal care. State governments must partner with such doctors through equipment grants, referral pathways, and fair reimbursement. NGOs should stop guarding territory and instead build networks of shared work. And donors must look beyond brand names to find the quieter hands doing steady service.

For the independent ophthalmologist, the way out of this cycle lies in forming alliances - with local bodies, with small NGOs, with fellow surgeons who believe in people rather than prestige. Transparency, community involvement, and patient stories can build trust where funds have been denied. It takes time, but it lifts you from isolation into a place where your effort is seen and supported.

India’s cataract blindness will not be conquered by numbers alone. It will be conquered by compassion linked to competence, by humility joined with vision, and by giving strength to those who serve far from the spotlight.

— Dr. Rajan Pradhan, M.D. (AIIMS)
This is general medical information - an in-person consultation is advised.

15/11/2025

Today is World Diabetes Day — a good moment to speak plainly about what diabetes can do to the eyes and what each of you can do to protect your sight.

High blood sugar slowly damages the tiny blood vessels at the back of the eye. Over years this can cause diabetic retinopathy — the commonest diabetes-related cause of vision loss — and diabetic macular edema, which blurs central vision. Early stages may have no symptoms. 

Diabetes also raises the risk of other eye problems — cataract (clouding of the lens) at a younger age, and glaucoma (damage to the optic nerve). These can speed vision loss if not recognised and treated. 

When to have your eyes checked: people with type 2 diabetes should have a retinal exam at diagnosis. People with type 1 should have their first exam within 3–5 years after diagnosis. After the first exam most patients need yearly checks — more often if retinopathy is present, during pregnancy, or if blood pressure and sugars are unstable. 

Good control of blood sugar, blood pressure and lipids lowers the risk of developing sight-threatening eye disease. Stopping smoking, following medical advice, and keeping appointments are simple acts that protect sight. 

Know the warning signs — sudden blurring, floaters, flashes, a shadow over part of your vision, or sudden loss of vision — and seek urgent care if any appear. Timely treatment (laser, injections, or surgery when needed) can often save or stabilise vision. 

Practical steps today:
• Book an annual retinal exam with an ophthalmologist or trained screener.
• Share your diabetes records (HbA1c, blood pressure, lipid reports) with your eye doctor.
• Keep blood sugar and blood pressure targets as advised by your physician.
• Report any change in vision immediately.

Preserve what you have — sight lost is often hard to recover. Small habits kept every day make a large difference over years.

This is general medical information - an in-person consultation is advised.

— Dr. Rajan Pradhan, M.D. (AIIMS)

15/11/2025

14 November is World Diabetes Day. I’m one day late but as in diabetes control and treatment, it’s always better late than never. But remember timely detection saves you from complications both systemic and eye related.

14/11/2025

Dry eyes are common in our part of the world. Dust, wind, screens and age all play their quiet part. Many patients ignore the early signs until the eyes feel gritty and tired at the end of the day. A simple understanding helps them care for themselves better.

Dry eye happens when the tear film becomes unstable. Tears may be too few or they may evaporate too fast. The result is the same – the surface of the eye loses its smooth, protective layer. Vision becomes hazy. The eyes feel strained, as if a fine sand is trapped under the lids.

Typical symptoms
• Grittiness or burning
• Redness, especially in the evenings
• Watering, which is the eye’s reflex to dryness
• Blurred vision that clears after blinking
• Sensitivity to wind and sunlight

Common causes
• Ageing, especially after forty
• Long hours on mobiles or computers
• Air-conditioners and dusty outdoor work
• Certain medications
• Reduced blinking during reading or screen use
• Incomplete eyelid closure during sleep
• Hormonal changes in women

What patients can do
• Blink fully and often during screen work
• Follow the 20-20-20 rule – every 20 minutes, look 20 feet away for 20 seconds
• Use preservative-free lubricating eye drops as advised
• Avoid direct air from fans and AC vents
• Stay well hydrated
• Wear protective glasses in windy or dusty areas
• Warm compress and gentle lid cleaning help if there is associated lid inflammation

When to seek help
• Persistent redness or discomfort
• Blurred vision that does not clear
• Pain, discharge or light sensitivity
• Symptoms affecting daily activities

Dry eye is a chronic condition but it can be managed. Regular care keeps the eye comfortable and vision clear. A few good habits and timely treatment make all the difference.

This is general medical information – an in-person consultation is advised.

— Dr. Rajan Pradhan, M.D. (AIIMS)

12/11/2025

A small amount of chia seeds before bed can be quite beneficial — rich in tryptophan, omega-3s, and fiber, they help maintain blood sugar through the night and promote calm digestion.

About 1 to 2 teaspoons (5–10 grams) mixed in warm water, milk, or curd is enough. Soak them for 10–15 minutes before consuming. If you prefer, you can add them to a small glass of milk or a spoonful of yogurt with honey — this combination helps gentle sleep and prevents late-night hunger.

Avoid taking more than 1 tablespoon (≈15 grams) at night, as the high fiber may cause bloating if you are not used to it. Drink enough water afterward.

— Dr. Rajan Pradhan, M.D. (AIIMS)
This is general dietary advice — individual tolerance may vary.

10/11/2025

World Keratoconus Day — November 10

Keratoconus is a progressive condition where the normally round cornea becomes thin and bulges outward like a cone. This irregular shape distorts vision — causing blurring, glare, and increasing dependence on glasses or contact lenses.

It often begins in the teenage years or early adulthood. Frequent change of glasses, eye rubbing, or a family history of keratoconus may be early signs. Modern treatments — such as corneal collagen cross-linking — can now halt its progression and help preserve vision if diagnosed in time.

A simple corneal scan can detect the condition early. Regular eye check-ups, especially for young people with changing vision or astigmatism, are vital.

On this World Keratoconus Day, let’s remember — early detection saves sight.

— Dr. Rajan Pradhan, M.D. (AIIMS)
This is general medical information — an in-person consultation is advised.

Contact 7586863854
05/11/2025

Contact 7586863854

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My Latest Schedule:/Centre For Eyesight, Burdwan Road, Siliguri. 10-2 Pm Mon/Fri. 12-2pm Saturday. Disha Medical, Pradhan Nagar Mon, We’d 5-7pm. Sat 10-12pm
Siliguri
734003

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