“THE THEATRE”
By
J.L. Gupta
THE theatre? Where the actors act? The
stage where the dramas are staged? Where anyone can pay and see the play. No!
It is the place where an ophthalmologist operates. No unwanted visitor. Not
free for all. Only for the patient. The person whose eyes need attention. He
who has to undergo surgery. It is neat and clean. Free from fungus. Bereft of
all bacteria. Thanks to the good doctor. I was allowed access. And what an
experience!
The eye is a fine part of human
constitution. It lays the whole world bare before us. It is the "pulse of
the soul". A window to man's mind. Sometimes, an eye does more work than
the two hands. It makes silence more eloquent than speech. When the tongue
makes "offence", the eye can "heal it up". The feelings,
the human emotions and the thoughts can be seen in the two tiny orbits.
And what a marvel of sensory reception
is this visual apparatus. Enclosed in a socket - made up of "portions of
several of the bones of the skull", it has "1,000,000 optic nerve
fibres and at least 150,000,000 receptors". The retina that receives light
and converts it into chemical energy for transmission to the brain has
"about 7,000,000 cones and from 75,000,000 to 150,000,000 rods". It
has a protective mechanism - the first line being provided by the lid. It has
the secretary organs, which function according to need. And yet it is subject
to disease and disorder. One of the common problems being the cataract.
The human eye has a lens. It is
transparent. It is vascular. An elastic capsule surrounds it. It lies behind
the pupil. Its "transparency is the result of the regular arrangement of
the lens fibers" which are being formed continuously. When there is interference,
abnormal fibers that cannot transmit light begin to grow. Opacity appears. When
it affects vision, it is called cataract. And thanks to the biotechnological
progress, it can be extracted as soon as it interferes with the normal human
activity. One does not have to wait for it to "mature". And I have
seen two extractions. At some interval of time. The gap was not too long. Just
a few years.
What a change within a short time. On
the first occasion,, after administering the anesthesia, etc, the surgeon
proceeded to give a nick with a scalpel that had a diamond edge. The opaque
lens was scraped and scooped out. The area was cleaned. The intra-ocular lens
was inserted through the nick and adjusted. The cut was then stitched. There
were three sutures. A dressing to provide quicker healing for the incision.
And, finally removal of the sutures. In all, it took about two weeks before the
patient felt normal.
And now? It was a different story. No
scalpel. No incision. Only a fine needle attached to what may, in a layman's
language, be described as a machine. It is inserted into the area. No blood.
The cataract is emulsified and sucked out. You can see it disappearing fast on
the monitor attached to the surgical microscope being used by the surgeon. And
through the same needle, the lens is inserted. No stitches or sutures. No
dressing. After being kept under observation for a short- while, you are permitted
to go home. One looks normal. Next day, you can attend to your daily routine.
Sometimes, even spectacles may not be needed. Normal vision. What a relief!
Life seems worth living all over again.
The few moments around this theatre
were really more satisfying than in any other. Even educative. While driving
back, a thought crossed the mind. Why does man make bombs and bombers when he
can make machines to reduce human suffering? Why should the world be a theatre
of war when we can have such theatres for human care and cure? Probably some
day man shall!
It is truly amazing how medicine has progressed ... Especially the surgical side with the advent of robotics ... Way back in 1990 when we did our final semester project on Robotics ... We knew that it was going to be the next big thing that is going to Change manufacturing ... Little did we realise how its going to change Surgery ... and to this extent ..
ReplyDeleteEven I underwent a Arthroscopic Operation for a meniscus tear in my left Knee .. One week ago and I am already walking fine ... Hope to get back to Playing Golf Again !!
Truly the surgery of cataract has undergone a paradigm shift in the last decades, the precision, the outcome of vision,,the convenience,, the restoration of function, the removal of disability..........the description of the process here is no less precise
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