Dr. Nikita Pathare

Consultant, Department of Pediatric Ophthalmology, Neurophthalmology and Cataract, Narayana Nethralaya

3 articles

Dr Nikita Pathare is a Consultant in the Department of Pediatric Ophthalmology, Neurophthalmology and Cataract at Narayana Nethralaya, Bengaluru. She is an alumnus of the world renowned Sankara Nethralaya, where she pursued her post-graduation in Ophthalmology and later went on to complete her long-term fellowship in Pediatric Ophthalmology, Strabismus and Neurophthalmology at the prestigious LV Prasad eye institute at Hyderabad. She won a gold medal in Neurophthalmology during her postgraduation. She has presented various papers, cases at national and international forums. Her areas of interest include Complex strabismus, Pediatric cataract, Adult cataract surgery and optic nerve disorders.

  1. Articles 16 Dec 2022 7 min read

    Ten mistakes to avoid while testing for RAPD

    Introduction: A relative afferent pupillary defect (RAPD) is an important sign that detects a lesion in the afferent pathway of light reflex. It is seen in unilateral or asymmetric bilateral lesions of the retina and optic nerve upto but not involving the chiasm. It has been noted though, even in lesions of optic tract and pretectal afferent fibres of dorsal mid brain. Although the test requires both eyes, it is essential to note that it requires only one working pupil. Swinging flashlight test of Levitan: Before performing the test, one must examine the pupil for shape, size of the pupils, anisocoria if any and reaction to light. It is important to note all these since anisocoria and small sized pupils may make it difficult to detect relative afferent pupillary defect. After completing this basic examination, one must proceed to perform the swinging flash light test, keeping in mind the following ten avoidable mistakes: 1. The ideal light: The test must be performed with a halogen tra

    Dr. Nikita Pathare
  2. Students Gallery 1 Apr 2021 2 min read

    Dos and Donts in the Operation theatre on Day One for Postgraduates in COVID times

    Dos: Change into OR scrubs and slippers. Make sure your OR cap and mask are separate from the one you have been wearing in OPD. Make sure to cover all strands of hair under the cap, especially for women. A clean shave is recommended for men to ensure a good fit for your N95 mask. Ensure proper usage of protective eyewear and a visor at all times. Wash hands/ use a Sanitizer before entering the OR. Learn to differentiate between sterile and non-sterile areas inside the theatre. Read about the procedures scheduled in the OR the previous day. For what the mind does not know, the eyes do not see. Know your operating microscope, foot controls, and instruments thoroughly. Learn to arrange the instrument trolley, paint, and drape the patient for surgery. Maintain adequate distance from the operation table during observation. Learn the 6 steps of handwashing and perform them for the prescribed amount of time depending on the concentration of Povidone-iodine in your institute. Maintain appropri

    Dr. Nikita Pathare
  3. Articles 1 Apr 2021 8 min read

    Down's Syndrome: Ten Points All Ophthalmologists Should Know

    Down’s syndrome is a trisomy caused by an extra copy of chromosome 211. The extrachromosomal material is transmitted either by non-disjunction, unbalanced translocation, or mosaicism. It is the most common chromosomal anomaly seen in live births2. As an ophthalmologist, it is important to screen for ocular abnormalities since the incidence of ophthalmic disorders is between 46-100%3. One study found 97 % of children with Down’s syndrome with at least one ocular abnormality4. This proves the necessity to carefully screen these children for any disorders and their prompt treatment. It is recommended that all children diagnosed with Down’s syndrome must undergo evaluation by a Pediatric ophthalmologist before the age of 6 months and then annually thereafter if no abnormalities are found at the first visit 5 Although there are many ophthalmological anomalies seen in Down’s syndrome, we will be discussing only the ten most clinically significant ones below. 1. Refractive Error and Visual ac

    Dr. Nikita Pathare