eye
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Mr Akash Raj MBBS & MD (AIIMS), MRCS, DRCOphth, FRCS, FRCOphth, PG Dip (Distinction) Consultant Ophthalmologist, Glaucoma specialist and Cataract surgeon, Birmingham, Dudley, Ashby De La Zouch, Midlands, UK
Mr Akash Raj MBBS & MD (AIIMS), MRCS, DRCOphth, FRCS, FRCOphth, PG Dip (Distinction)Consultant Ophthalmologist, Glaucoma specialist and Cataract surgeon, Birmingham, Dudley, Ashby De La Zouch, Midlands, UK 

Some important & interesting facts about eye drops

  • The conjunctival sac of the eye has a capacity of only 10 µL and an average eye drop is 25-50 µL, so 60-80% of an eye drop may overflow and enter tear (lacrimal) drainage system.

 

  • Therefore it does not make sense to apply more than one eye drop at a time per eye and is advisable to wait for atleast 15-20 minutes before applying the next eye drop.

 

  • The nasopharyngeal mucosa is the primary site of systemic
    absorption of drugs applied topically to the eye.
 

 

Peak drug levels typically occur much more rapidly (similar to an

intravenous bolus) than with oral administration. Absorption

through the nasopharyngeal mucosa also avoids a first pass

through the liver and for some drugs this will increase

the proportion of drug reaching the systemic circulation. Timolol,

which exhibits extensive first pass metabolism is such a case.

 

The drops can act as a systemic “bolus” – an infusion of the drug

Into the   bloodstream. Only 1-7% of the eye drop enters the eye

Through the cornea. This is sufficient to have the desired effect of

lowering intraocular pressure. Approximately 80% of the drug

reaching the tear (lacrimal)duct is absorbed systemically, meaning

that it enters the bloodstream. This is responsible for many of the

side effects associated with glaucoma treatment medications

administered through eye drops.

 

It is for these reasons Mr Raj would advise closure of the eye lids

for a few minutes after application of drops and also to put gentle

pressure on the skin over the inner corner of your eye.

Private & NHS patients

How to see Mr Raj

For private patients & referrals

 

Mr Akash Raj 

Consultant Ophthalmologist, Glaucoma specialist & Cataract surgeon

 

West Midland Hospital

(Alternate Thursday AM)

Colman Hill

Halesowen

West Midlands

B63 2AH

 

Appointments:

01384 632 640

 

Private Secretary: Liz Carter : 01384 632 636 

                               Fax:     01384 632702

                                            FAO Liz Carter

 

 

 

Mr Akash Raj

Consultant Ophthalmologist, Glaucoma & Cataract specialist

 

BMI The Priory Hospital, Edgbaston

(Thursday PM)
Priory Rd, Birmingham, West Midlands
B5 7UG
 
Appointments:
0121 446 1638
(Consultation by appointment only)
 
Private Secretary:
Liz Carter
Direct Line: 01384632636 

 



 

 

 

 

For NHS Referrals through GP/Opticians

 

Mr Akash Raj

Consultant Ophthalmologist (Glaucoma Lead)

 

Russells Hall Hospital

Pensnett Road

Dudley

West Midlands

DY1 2HQ

 

Phone: 01384456111

Extn. 5815 (NHS Secretary: Lyn Eaton)

 

Fax:     01384244880

            FAO  Lyn Eaton

 



Mr Raj's private consultation times

Telephone consultations @ mutually convenient times. Please see options above.

 



Thursdays (alternate) 9am to 12 Noon @ West Midland Hospital, Colman Hill, Halesowen.

 

 

 

EveryThursday (2 pm - 4 pm) @   The Priory Hospital, Edgbaston(With prior appointments only)

 

 

 

 

Ashby Eye Clinic: 

 

Every Friday at Dr Dawes's Surgery. Please call the surgery for appointments.

The Surgery, Ashby
30 North Street
Ashby-de-la-zouch
Leicestershire, LE65 1HS
Tel: 01530 417415

Please lookout for timings.

http://www.thesurgerynorthstreetashby.nhs.uk

 

 

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© Glaucoma specialist, Consultant Ophthalmologist and Cataract surgeon, Birmingham, Dudley and West Midlands, United Kingdom.