Tag: second opinion glaucoma gurgaon

Walk-In Eye Consultation in Gurgaon

If your eye suddenly hurts, your vision has changed, or something simply does not feel right, you do not need to wait for a scheduled appointment. Walk-in eye consultations are welcome, and for emergencies, immediate assessment takes priority over everything else, explains Dr Shibal Bhartiya.

That said, booking ahead means shorter waiting times and a more relaxed, thorough examination. This page explains both options so you can make the right call for your situation.

Here’s all you need to understand about Walk-In Eye Consultation in Gurgaon: When to Come In Without an Appointment

Walk-In Consultations Are Welcome

Whether you have a sudden concern, are visiting Gurgaon temporarily, or simply could not find a convenient appointment slot, walk-in patients are seen at the clinic. No prior referral is needed.

For non-urgent concerns, walk-ins are accommodated in the order of arrival alongside scheduled patients. You may wait longer than someone who has booked in advance, but you will be seen.

For emergencies, you do not wait. Eye emergencies are assessed immediately regardless of the appointment schedule.

Eye Emergencies: Come In Right Away

Some symptoms cannot wait — not for an appointment, not for tomorrow, not until the weekend is over. If you experience any of the following, come in the same day:

  • Sudden loss of vision in one or both eyes, even if it seems to be improving
  • Severe eye pain, especially if accompanied by nausea or vomiting
  • Flashes of light or a sudden shower of floaters — new, not longstanding
  • A shadow, curtain, or dark area appearing in any part of your vision
  • Eye injury — chemical splash, foreign body, blunt trauma, or penetrating injury
  • Sudden double vision that is new and persistent
  • Red eye with pain and reduced vision — particularly with coloured haloes around lights
  • Eye pain after a procedure or surgery

These are not symptoms to monitor at home. Delay in conditions like retinal detachment, acute angle-closure glaucoma, or chemical injury directly worsens the outcome. Come in, call ahead if you can — but come in.

📞 +91 88826 38735

Why Booking an Appointment Helps

A walk-in visit gets you seen. A booked appointment gets you the most from your visit.

Here is why it makes a difference:

Shorter waiting time. Scheduled patients are slotted into the OPD timetable. Walk-in patients are fitted around them. On busy clinic days, this can mean a meaningful wait — sometimes one to two hours. Booking ahead eliminates most of that.

Time to prepare your records. When an appointment is booked, you have the opportunity to upload previous prescriptions, reports, or investigation results before you arrive. This allows the consultation to begin with context — not from scratch. The more complex your history, the more this matters.

Investigations can be planned in advance. Certain tests — visual fields, OCT, corneal topography, gonioscopy — take time to perform and interpret. When your visit is planned, the right investigations can be sequenced efficiently within your consultation slot.

More focused consultation time. A scheduled visit, with records reviewed in advance, means the consultation can go deeper. For conditions like glaucoma, where the history of pressure readings, field tests, and disc changes over time is as important as the examination today, this context is clinically significant.

Second opinions benefit most from preparation. If you are coming for a second opinion on a diagnosis or a treatment plan, sending records ahead transforms the consultation. It becomes a review of your full picture — not a repeat of tests already done elsewhere.

What to Bring to a Walk-In or Scheduled Visit

Whether you book ahead or walk in, bring whatever you have:

  • Current glasses or contact lenses (wear them if you normally do)
  • Previous glasses prescriptions
  • Any eye investigation reports — OCT, visual fields, corneal topography
  • List of current medications, including eye drops
  • Any letters or discharge summaries from previous ophthalmologists
  • Your phone, pre-loaded with any photographs of symptoms if relevant

If you have none of these, that is fine. The examination begins with what is present.

How to Book an Appointment

Booking takes less than two minutes.

Call or WhatsApp: +91 88826 38735

Online: www.drshibalbhartiya.com — use the appointment or contact form to request a slot, or upload reports for review before you arrive.

Appointments are available during OPD hours at Marengo Asia Hospitals, Sector 56, Gurugram. For teleconsultation — if you are outside Gurgaon or prefer a remote review of your reports first — this can also be arranged through the website.

Frequently Asked Questions

Can I walk in for an eye examination without a referral?

Yes. No referral is required for a walk-in consultation. You will be registered at reception and seen in order of arrival, alongside scheduled patients.

How long will I wait as a walk-in patient?

This varies by how busy the OPD is on that day. On quieter days, the wait may be under 30 minutes. On busy days, it can be longer. Booking an appointment is the most reliable way to reduce waiting time.

What counts as an eye emergency?

Any sudden change in vision, severe eye pain, new flashes or floaters, a shadow in your vision, eye injury, or red eye with pain and reduced vision. These are emergencies. Walk in immediately — do not wait for an appointment.

Can I upload my reports before a walk-in visit?

Yes. Even if you have not booked an appointment, you can upload reports through the website in advance so they are available at the time of your consultation.

Is teleconsultation available for patients outside Gurgaon?

Yes. For patients who are not in Gurgaon, a teleconsultation can be arranged to review reports and investigations remotely. Contact the clinic through the website or by phone to schedule this.

What should I do if I arrive and my symptoms have worsened?

Tell the reception staff immediately. Any worsening of symptoms — especially vision loss, increasing pain, or new double vision — changes your priority. You will be assessed promptly.

Visit Us

Dr Shibal Bhartiya — Glaucoma & Ophthalmology Clinic Marengo Asia Hospitals, Sector 56, Gurugram, Haryana — 122011

📞 +91 88826 38735 🌐 www.drshibalbhartiya.com

Walk-ins welcome. Appointments preferred. Emergencies always first.

About the Author

About the Author

This article was written by Dr Shibal Bhartiya, fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator, Clinical Director at Marengo Asia Hospitals, Gurugram, known for ethical, patient-centred glaucoma care and independent glaucoma second opinions. She is also the Program Director for Community Outreach & Wellness; and for the Marengo Asia International Institute of Neuro and Spine.

She has published peer-reviewed research on glaucoma management, examining how treatment decisions should balance medical evidence, patient preferences, and long-term vision outcomes.

As Editor-in-Chief of Clinical and Experimental Vision and Eye Research and Executive Editor of the Journal of Current Glaucoma Practice (Pubmed Indexed, official journal of the International Society of Glaucoma Surgery), Dr Shibal Bhartiya brings editorial and research depth to every clinical decision. Her 200+ publications, including 90+ PubMed-indexed publications and 28 edited textbooks span glaucoma biology, surgical outcomes, health equity, and emerging diagnostics.

Access her work on Pubmed, Google Scholar, ResearchGate and ORCID.

Dr Shibal Bhartiya
Glaucoma • Second Opinion • Advanced Care

www.drshibalbhartiya.com
 +91 88826 38735

1500+ Five Star Patient Reviews Google Business Profile

Upload your reports for a structured review.

If you are unable to come to Dr Bhartiya’s clinic: Read more about teleconsultation for glaucoma

PubMed Profile | Google Scholar | ResearchGate | ORCID

⭐ Helped by this article? Leave a Google review — it helps other patients find reliable eye care.

📋 Upload your reports for review before your appointment at www.drshibalbhartiya.com

📞 +91 88826 38735

Difficulty seeing at night

Difficulty seeing at night, even with “normal” tests, can be an early, often missed signal of underlying eye disease. Clear vision isn’t always safe vision; subtle changes in low light deserve a closer, expert look, explains Dr Shibal Bhartiya.

Difficulty seeing at night is not just an inconvenience. It is often the first sign that something is wrong inside your eye. If you strain to read road signs after dark, feel blinded by oncoming headlights, or need more time to adjust when you walk into a dimly lit room, your eyes are asking you to pay attention.

Many people live with night vision problems for years before seeking help. By the time they do, a treatable condition has sometimes become harder to manage. The right time to see a doctor is now, before your symptoms get worse.

Many patients who come to Dr Bhartiya with night vision complaints have never been told that difficulty adjusting to low light is one of the earliest detectable signs of glaucoma, a condition that has no pain, no redness, and no warning until vision is already lost.

Dr Shibal Bhartiya is a fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator with over 25 years of experience. Her approach focuses on identifying risk before damage is irreversible, simplifying treatment decisions, and protecting vision long-term. Emphasis on early detection, risk assessment, and continuity of care. She is rated 5 stars across 1,500+ patient reviews on Google.

What Causes Difficulty Seeing at Night?

Several eye conditions affect your ability to see in low light. Some are minor and correctable. Others are serious and progressive.

Refractive Errors

An uncorrected or wrongly corrected spectacle power is one of the most common reasons for poor night vision. Myopia (short-sightedness) makes distant objects blur in all lighting conditions, but the effect is far more noticeable at night. An updated prescription often resolves this quickly.

Cataracts

A cataract clouds the natural lens inside your eye. As it thickens, light scatters before it reaches the retina. This causes glare, halos around lights, and reduced contrast — all of which become more pronounced after dark. Cataracts are treatable with surgery, but early detection gives you more options and better outcomes.

Glaucoma

Glaucoma damages the optic nerve gradually and silently. One of its earliest and most overlooked signs is difficulty adapting to low light and a narrowing of your side vision. Most people with glaucoma notice nothing unusual until the damage is advanced. Night driving difficulty, bumping into objects in dim light, or needing extra time to adjust when entering a dark room can all be early warnings. Glaucoma cannot be reversed, but it can be stopped — if it is caught in time.

Diabetic Retinopathy

Uncontrolled diabetes damages the small blood vessels in the retina. This affects how the retina processes light, making night vision one of the first things to suffer. If you have diabetes and notice worsening night vision, do not wait.

Vitamin A Deficiency

Vitamin A is essential for producing rhodopsin, the pigment your retina uses to see in dim light. A deficiency, more common in children but possible in adults with certain diets or gut conditions, directly impairs night vision. This is one of the few causes that is fully reversible with the right nutrition.

Retinitis Pigmentosa

This inherited condition progressively destroys the light-sensitive cells in the retina. Night blindness is usually the first symptom, followed slowly by tunnel vision. Early diagnosis allows for monitoring, genetic counselling, and planning.

When Is Difficulty Seeing at Night Serious?

See a doctor promptly if you notice any of the following:

Do not wait for your annual check-up if these symptoms are new or getting worse. Conditions like glaucoma cause permanent damage before you feel any pain or notice significant vision loss.

Night Vision and Glaucoma: What Most People Miss

Glaucoma is called the silent thief of sight for a reason. It takes peripheral vision first, the vision you use to see around you, navigate in dim light, and detect movement. By the time central vision is affected, the damage is already severe.

Night difficulty is one of the earliest functional signs of peripheral vision loss. People often blame tiredness, screen exposure, or ageing, and miss what is actually happening to their optic nerve.

If you are over 35, have a family history of glaucoma, are of Indian ethnicity, or have high eye pressure, difficulty seeing at night deserves a specialist evaluation, not just a new spectacle prescription.

What to Expect at Your Appointment

A comprehensive eye examination for night vision problems includes:

Visual acuity testing — checks how clearly you see at different distances

Refraction — determines your exact spectacle power

Intraocular pressure measurement — rules out raised eye pressure, a key risk factor for glaucoma

Slit-lamp examination — checks the lens for cataracts and the front of the eye for other conditions

Optic nerve assessment — looks for early glaucoma damage, often visible before symptoms appear

Visual field testing — maps your peripheral vision to detect silent loss

OCT scan — provides a detailed cross-section of the optic nerve and retina, detecting changes years before standard tests

This examination takes about 30 to 45 minutes. It is painless. And it could catch a condition that has no symptoms yet.

Frequently Asked Questions

Is difficulty seeing at night always a sign of a serious eye condition?

Not always. A mild refractive error or vitamin deficiency can cause night vision problems that are fully correctable. However, it can also be an early sign of glaucoma, cataracts, or retinal disease — which are serious. The only way to know is a proper eye examination. Do not self-diagnose.

Can difficulty seeing at night be treated?

Yes, in most cases. Treatment depends on the cause. Refractive errors are corrected with updated spectacles or contact lenses. Cataracts are managed with surgery. Glaucoma is treated with eye drops, laser, or surgery to stop progression. The earlier you seek care, the more treatment options are available.

I am 38 and healthy. Do I really need to worry about night vision changes?

Yes. Glaucoma can begin in your 30s, and Indians are at higher risk than many other populations. If your night vision has changed — even slightly — it is worth ruling out the serious causes. An OCT scan and visual field test take less than an hour and can give you complete clarity.

Does using screens at night cause permanent night vision problems?

Screen use causes temporary eye strain and can make it harder to adjust to darkness in the short term. It does not cause permanent night vision damage. However, if you use this explanation to dismiss persistent night vision symptoms, you may delay the diagnosis of something that does need treatment.

How is a glaucoma-related night vision problem different from normal ageing?

Some loss of contrast sensitivity is normal with age. But a progressive change in how quickly your eyes adjust to darkness, or difficulty on the side of your vision in low light, is not simply ageing — it needs investigation. The key question is whether your night vision has changed. If it has, see a specialist.

Book a Consultation

Night vision problems are worth taking seriously. A 45-minute appointment could detect a condition that has no other symptoms — and protect your vision before damage becomes permanent.

Book an appointment with Dr Shibal Bhartiya — Glaucoma Specialist, Gurgaon

📍 Marengo Asia Hospitals, Sector 56, Gurugram

📞 +91 88826 38735

🌐 www.drshibalbhartiya.com

About the Author

This article was written by Dr Shibal Bhartiya, fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator, Clinical Director at Marengo Asia Hospitals, Gurugram, known for ethical, patient-centred glaucoma care and independent glaucoma second opinions. She is also the Program Director for Community Outreach & Wellness; and for the Marengo Asia International Institute of Neuro and Spine.

She has published peer-reviewed research on glaucoma management, examining how treatment decisions should balance medical evidence, patient preferences, and long-term vision outcomes.

As Editor-in-Chief of Clinical and Experimental Vision and Eye Research and Executive Editor of the Journal of Current Glaucoma Practice (Pubmed Indexed, official journal of the International Society of Glaucoma Surgery), Dr Shibal Bhartiya brings editorial and research depth to every clinical decision. Her 200+ publications, including 90+ PubMed-indexed publications and 28 edited textbooks span glaucoma biology, surgical outcomes, health equity, and emerging diagnostics.

Access her work on Pubmed, Google Scholar, ResearchGate and ORCID.

Dr Shibal Bhartiya
Glaucoma • Second Opinion • Advanced Care

www.drshibalbhartiya.com
 +91 88826 38735

1500+ Five Star Patient Reviews Google Business Profile

Upload your reports for a structured review.

If you are unable to come to Dr Bhartiya’s clinic: Read more about teleconsultation for glaucoma

Related Reading

Seeing clearly is not seeing safely

Seeing safely is not same a good vision

Vision at night

Why Vision Becomes Blurred After Reading or Screen Use

Screen Fatigue

Screens and TV

Difficulty seeing at night

Night time driving and eye strain

Why Your Eyes Water Constantly

Basics of Dry Eye

Dry Eye Second Opinion

Dry Eye: A Chronic Disease

Why Do Women Get Dry Eye More Often?

Menopause and Dry Eye

Dry Eyes: Natural Remedies

Dry Eyes: Tips to Soothe Sore Eyes

Why Dry Eye Is Worse in Air Conditioning and on Flights

GLP-1 Agonists and Eye Health: What You Need to Know Before Starting Ozempic or Mounjaro

Posted on by Dr Shibal Bhartiya

GLP-1 receptor agonists, approved for type 2 diabetes management and weight loss, can affect your vision. There is a risk…

Why Glaucoma May Progress Despite Treatment

Posted on by Dr Shibal Bhartiya

Glaucoma may progress despite treatment if eye pressure is not low enough for that individual eye. Other factors like poor…

Can Routine Eye Tests Miss Glaucoma?

Routine eye tests can appear normal in early glaucoma because they measure visual clarity, not optic nerve damage or functional loss patterns. Glaucoma often develops silently, with structural damage occurring before any noticeable change in vision.

It is difficult to believe that sometimes routine eye tests miss glaucoma. Most patients diagnosed with glaucoma say the same thing:

“But I was getting regular eye check-ups.”

This question is painful, but very important. Glaucoma can exist with completely normal vision, especially in early stages.

Routine eye tests can sometimes miss early glaucoma. Not because doctors are careless, and not because patients did anything wrong, but because glaucoma is a quiet disease that often hides in plain sight.

Understanding this helps patients make calmer, better decisions, says Dr Bhartiya.

Dr Shibal Bhartiya is a fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator with over 25 years of experience. Her approach focuses on identifying risk before damage is irreversible, simplifying treatment decisions, and protecting vision long-term. Emphasis on early detection, risk assessment, and continuity of care. She is rated 5 stars across 1,500+ patient reviews on Google.

Why Routine Eye Tests Miss Glaucoma

1. Glaucoma Has No Early Symptoms

In early glaucoma, vision is usually perfect. You can read clearly, drive, and work normally while small optic-nerve fibres are already lost. This is called structural damage before functional loss.

Routine exams focused on glasses or cataract may not detect this.

2. Eye Pressure Can Be Normal

Many patients have normal-tension glaucoma. So a quick pressure check does not rule out disease. Moreover, your eye pressure fluctuates through the day. This is called diurnal variation of IOP.

Eye pressure is only one part of glaucoma evaluation, and moreover, one single reading is not adequate representation of what happens through the day. This is one of the reasons why routine eye tests miss glaucoma.

3. Single Tests Can Mislead

Glaucoma diagnosis needs a combination of:

• optic nerve examination
• OCT imaging
• visual field testing
• corneal thickness
• angle examination (gonioscopy / ASOCT)
• family history
• comparison over time

Looking at one test alone can miss subtle disease, or cause unnecessary fear.

If your OCT shows red areas or your field test is flagged, do not panic. Many of these findings need careful interpretation before they mean anything definitive.

4. The Brain Compensates

Patients adapt quietly. They stop night driving. Read more slowly. Walk carefully in dim light. the vision charts and power of glasses remain normal.

Routine exams rarely ask about these subtle changes.

5. Follow-Up Drift

Documentation of clinical findings is often inadequate. Patients are told to return after one year. Some don’t. Others just get their power of glasses checked. Some change doctors, others lose records. Sometimes reports are not compared carefully. Small progression is thus missed.

This is a systems problem, not a patient mistake.

How Often Do Routine Eye Tests Miss Glaucoma?

More often than most people realise. Population-based studies in India, including large community studies in South India, have shown that glaucoma frequently remains undetected. This is true even in people who had already undergone cataract surgery. Cataract surgery improves vision but does not rule out glaucoma.

Across India, it is estimated that around 90% of glaucoma cases remain undiagnosed.

Even in developed countries, glaucoma diagnosis is difficult. Studies show both under-diagnosis and over-diagnosis are common. This is because glaucoma cannot be diagnosed from one test alone. It requires interpretation of patterns over time.

These numbers remind us that glaucoma is a subtle disease, not a simple one.

What a Proper Glaucoma Check Should Include

A structured glaucoma evaluation includes:

• optic nerve assessment
• OCT nerve fibre analysis
• visual field testing
• corneal thickness measurement
• angle examination
• risk stratification
• comparison over time

Because glaucoma is a slow disease, continuity of care matters more than a single visit.

Who Should Be Checked Even If Vision Is Normal

• Age above 40
• Family history of glaucoma
• High myopia
• Diabetes or hypertension
• Long-term steroid use
• Women caring for families who delay their own care

These groups need structured follow-up. This does not mean everyone with these risk factors needs glaucoma investigations. It means they need a comprehensive eye evaluation, with special focus on glaucoma.

Who Needs Glaucoma Investigations, and When?

Glaucoma testing is recommended whenever risk factors are present, even if vision feels normal. This includes people with a suspicious optic nerve appearance, ocular hypertension (eye pressure above 21 mmHg), thin corneas, a strong family history of glaucoma, or previous eye injury. Patients with high myopia, diabetes, or long-term steroid use also need evaluation. Because glaucoma is usually silent early, investigations should begin when these risk factors are first detected and be repeated at intervals based on individual risk so that subtle progression is not missed.

What Does “C:D Ratio” Mean?

The optic nerve has a small central hollow called the cup, surrounded by nerve tissue called the disc.
The cup-to-disc ratio (C:D) compares the size of this hollow to the whole optic nerve.

A C:D ratio greater than about 0.5, especially if it is increasing or the different between the two eyes is more than 0.2, can suggest possible nerve fibre loss and may need glaucoma testing.

However, C:D size varies naturally between people. Some individuals have large cups but healthy nerves. This is why the C:D ratio must always be interpreted along with OCT scans, visual field testing, and comparison over time. Numbers alone do not diagnose glaucoma, patterns do.

What Does “IOP > 21 mmHg” Mean?

IOP stands for intra-ocular pressure, the pressure inside the eye.
Pressures above 21 mmHg are considered higher than average. Ocular hypertension is defined as high eye pressures with no fucntional or structural damage to the optic nerve.

Not everyone with high pressure develops glaucoma, and some people develop glaucoma with normal pressure. But raised pressure increases risk and requires careful monitoring and sometimes treatment to protect the optic nerve.

Because glaucoma is usually invisible early, patients with ocular hypertension need structured follow-up even if vision is clear.

The Bigger Lesson

Early, consistent care prevents regret later. In glaucoma, we are not protecting eyesight today. We are protecting your vision for the rest of your life.

Healthcare systems are built around treating visible disease. Glaucoma is invisible early. So routine eye tests miss glaucoma. This is not anyone’s fault. But it means patients must ask questions and doctors must think long-term.

When a Second Opinion Helps

A second opinion is not about doubting your doctor. It is about understanding your own risk clearly.

Because glaucoma is subtle, a structured second opinion can be useful when:

• Reports are confusing
• Advised surgery suddenly
• Multiple drops started without explanation
• OCT and visual field results disagree
• Strong family history of glaucoma/ glaucoma blindness

A calm review of tests over time often clarifies risk.

The Importance of Serial Comparison

The most important glaucoma test is comparison.

We compare:

• OCT over years
• visual fields over years
• optic nerve photos

Progression becomes visible only in hindsight. That is why follow-up matters.

Common Misinterpretations

• Red OCT areas in high myopia
• Field defects from cataract
• Machine artefacts
• Ignoring early thinning

Patients should not panic. Or be falsely reassured, without explanation. A structured interpretation is essential to clarify, and stratify, risk.

My Approach

My approach to glaucoma evaluation begins with reviewing all prior reports in sequence: not just the most recent one. I look for patterns across OCT, visual field, and optic nerve imaging over time, because glaucoma progression only becomes visible when tests are compared, not read in isolation. Every patient receives a written risk summary and a clear explanation of what needs monitoring and why. I review all reports systematically with attention to long-term risk.

Closing Thought

Seeing clearly is not the same as seeing safely. In glaucoma, we are not protecting eyesight today. We are protecting your eyes for the rest of your life.

Early, consistent care matters more than dramatic late treatment.

Most patients who contact me are not yet sure they have glaucoma. That is exactly the right time to ask.

Read the research articles

This article was written by Dr Shibal Bhartiya, fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator, Clinical Director at Marengo Asia Hospitals, Gurugram, known for ethical, patient-centred glaucoma care and independent glaucoma second opinions. She is also the Program Director for Community Outreach & Wellness; and for the Marengo Asia International Institute of Neuro and Spine.

She has published peer-reviewed research on glaucoma management, examining how treatment decisions should balance medical evidence, patient preferences, and long-term vision outcomes.

As Editor-in-Chief of Clinical and Experimental Vision and Eye Research and Executive Editor of the Journal of Current Glaucoma Practice (Pubmed Indexed, official journal of the International Society of Glaucoma Surgery), Dr Shibal Bhartiya brings editorial and research depth to every clinical decision. Her 200+ publications, including 90+ PubMed-indexed publications and 28 edited textbooks span glaucoma biology, surgical outcomes, health equity, and emerging diagnostics.

Access her work on Pubmed, Google Scholar, ResearchGate and ORCID.

Dr Shibal Bhartiya
Glaucoma • Second Opinion • Advanced Care

www.drshibalbhartiya.com
 +91 88826 38735

1500+ Five Star Patient Reviews Google Business Profile

Upload your reports for a structured review.

If you are unable to come to Dr Bhartiya’s clinic: Read more about teleconsultation for glaucoma

Related Reading

Get an Online Glaucoma Consult

Eye Pressure Measurement

Why Do I Need a Visual Field Test?

Understanding Your OCT Report in Glaucoma

Visual Field and OCT: Structure & Function Correlation

Gonioscopy

Glaucoma Diagnosis in Gurgaon

Glaucoma Progression: What It Means and How to Slow It

Get a Glaucoma Second Opinion in Gurgaon