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Ophthalmology Opinion:

Mr. Amar Saduram Mulchandani has proliferative diabetic retinopathy in both eyes due to long standing Diabetes Mellitus because of this his vision in right eye is finger counting at 1 metre and in left eye is 6/18. This is same over an year.

2-BA1524-2024.DOC For right eye there is nil active management and for left eye he is advised intravitreal anti-VEGF injection after physician's fitness which is a day care procedure and should continue eye drops Nepafenac in left eye three times a day and Betaxolol eye drops in right eye twice a day. As per the committee the patient does not need hospitalization at present and can follow up in respective specialities at regular intervals on OPD basis. He is advised to take his medicines regularly as advised."

14. On the touchstone of the aforesaid principles, the prayer of the applicant for bail is required to be evaluated, in the light of the report of committee of experts, extracted above. First and foremost, it is necessary to note that the committee has opined in no uncertain terms that the applicant does not need hospitalization, at present. The applicant can have follow up treatment for the ailments he is suffering from, in the respective specialities, at regular intervals, on OPD basis. It is thus clear that, at this stage, the applicant does not require hospitalization and/or institutionalized treatment for any of the ailments he is 2-BA1524-2024.DOC suffering from. Secondly, it would be relevant to note that the applicant sought permission for treatment at a private hospital on the ground that he had suffered a mild heart-attack. The committee, especially the cardiologist, has clearly opined that at present the cardiac evaluation of the applicant shows normal vital parameters. 2D Echocardiography is suggestive of normal left ventricular systolic function with ejection fraction of 60%. At present the applicant has no acute cardiac complaints. Thirdly, the Nephrologist has opined that the applicant has chronic kidney disease stage III-B GFR 40ml/minute and the said condition is irreversible, yet, from nephrological point of view what is required is strict glycemic control and medication, as advised. The applicant could follow up on OPD basis. Fourthly, from ophthalmologist's perspective also, the condition of the applicant is not such that it requires immediate intervention. The applicant was advised to have intravitreal anti-VEGL injection, which is a day care procedure. That leaves the aspect of bilateral lower limb weakness, paresthesias on account of diabetic neuropathy.