Dr. Shaloo Bageja

3 articles

Dr. Shaloo Bageja is the versatile and dynamic Ophthalmology consultant. After completing her medical graduation she successfully completed her degree in ophthalmology from Sir Ganga Ram Hospital in 1997. After her degree, she worked as a registrar, clinical assistant, and consultant in Ophthalmology in Sir Ganga Ram Hospital.

  1. Articles 2 Apr 2021 21 min read

    Long Case of Ptosis

    Blepharoptosis refers to the inferodisplacement or drooping of the upper eyelids.The condition can be congenital associated with the presence of a dystrophic levator muscle or acquired due to a myogenic, neurogenic, mechanical, aponeurotic or traumatic cause. We aim to provide certain general guidelines to the management of a patient with ptosis. In assessment of long case of ptosis the clinical examination should start with History as with any other case. History: Obtain a thorough medical and ophthalmic history. The onset of ptosis, Alleviating or aggravating factors, Family history of ptosis Whether increasing, decreasing, or constant since the time of manifestation Association with Jaw movements Abnormal ocular movements Abnormal head posture History of Trauma or previous surgery Poisoning Use of steroid drops Any reaction with anesthesia Bleeding tendency Previous photographs may prove to be of great help. Ocular Examination: Head Posture: A significant head posture (usually chin

  2. Articles 2 Apr 2021 14 min read

    Eyelid Trauma

    In recent times, eyelid injuries are on the rise primarily because of the increasing incidence of road traffic accidents, industrial mishaps and intentional assaults on the human body. Injury to the eyelids, lacrimal system or orbital wall may be isolated or may occur in association with mid facial injuries. History A precise history is essential to assess the severity of the injury. In some cases, an ophthalmologist can anticipate the extent and severity of injury from the mechanism of injury. It is important to elicit the mode of injury, whether it is with sharp or blunt objects or due to thermal or chemical injury or due to dog bites. In cases of animal bites, a complete tetanus immunization history is obtained and if required proper immunization should be given. Examination Of The Patient The patient’s injury must be dealt with according to the priority. The basic “ABC’s” (Airway, Breathing, Circulation) must be evaluated, before proceeding to the management of localized injury. Th

  3. Students Gallery 1 Apr 2021 7 min read

    Ten Tips for the Beginner to Examine a Patient of Ptosis

    1. History A careful history helps in identifying the etiology of ptosis (Fig 1). The age at onset of ptosis and its duration will usually distinguish congenital from acquired cases. Relevant history should be elicited in all patients regarding the variability of ptosis during the day, associations with any jaw movements, abnormal ocular movements and head posture, diplopia, or tiredness. Old photographs often reveal important information. A family history of similar conditions should be determined to rule out Congenital or hereditary ptosis, blepharophimosis, ocular myopathies, etc. Any history of previous surgery, trauma, or use of steroids should be recorded. According to its etiology, it can be classified as myogenic, aponeurotic, neurogenic, neuromuscular, mechanical, or traumatic. Figure 1: Young female with Left eye severe ptosis 2. Ruling out pseudoptosis There are conditions that can mimic ptosis include enophthalmos, anophthalmos, contralateral proptosis, contralateral lid re