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अखिल भारतीय आयुर्विज्ञान संस्थान, नई दिल्ली
All India Institute Of Medical Sciences, New Delhi

RPC-Unit-IV

 

Cornea, Cataract, Refractive and Glaucoma services 

FACULTY MEMBERS

S.No.

Name/Designation

Designation

1

Prof. Namrata Sharma

Professor and Officer-in-Charge

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2

Prof. Tanuj Dada

 

Professor of Ophthalmology

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3

Dr Prafulla Kumar Maharana

 

Associate Professor of Ophthalmology

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4

Dr Dewang Angmo

 

Associate Professor of Ophthalmology

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5

Dr Saurabh Verma

     

Assistant Professor of Ophthalmology

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The unit provides comprehensive services for management of pediatric and adult cataract, refractive surgeries, corneal transplantation, medical, laser and surgical management of pediatric and adult glaucoma. Unit runs specialty clinics that include cornea clinic, refractive surgery clinic and glaucoma clinic.  

All kinds of adult cataract and pediatric cataract are seen and managed in this unit. The pediatric cataracts include congenital cataract, syndromic cataract, traumatic cataract and other complicated cataracts. Adult cataracts such as senile cataracts and complicated cataract cases, such as those with subluxated and dislocated cataracts are also seen and managed. Modern cataract surgery such as femtosecond laser assisted cataract surgery (FLACS) and Premium intraocular lens surgery such as trifocal, multifocal and toric intraocular lens are routinely done in this unit. Besides this, challenging cases such as aniridic IOL implantation, intralenticular lens aspiration (ILLA), capsular support devices with IOL placement are also done. Secondary intraocular lens placement and glued scleral fixated intraocular lens (SFIOL) surgery are done to rehabilitate aphakic patients.  

The unit also runs a state of the art refractive clinic. It deals with all the refractive cases for correction of myopia, hyperopia and astigmatism. All modern refractive surgery such a small incision lenticule extraction (SMILE), femtosecond LASIK are carried out in this unit. Other refractive procedures such as implantable collamer lens (ICL) surgery, implantable phakic contact lens (IPCL) surgery, photorefractive keratectomy (PRK) and intrastromal corneal ring segments (ICRS) are also performed in this unit.  

The aim of cornea clinic is to evaluate patients with corneal problems and plan their appropriate management. Patients of microbial keratitis including bacterial, fungal and viral keratitis are evaluated and managed. Other corneal conditions such as corneal dystrophy, corneal decompensation, corneal opacity and keratoconus are evaluated in the cornea clinic. Various corneal procedure such as corneal collagen cross linking with Riboflavin(C3R), penetrating keratoplasty are performed in this unit. Anterior lamellar procedure such anterior lamellar therapeutic keratoplasty (ALTK), superficial anterior lamellar keratoplasty (SALK) and deep anterior lamellar keratoplasty (DALK) and endothelial keratoplasty procedure such as Descemet stripping automated endothelial keratoplasty (DSAEK), and Descemet membrane endothelial keratoplasty (DMEK) are also performed. Recently we have started corneal transplantation using biosynthetic cornea. Amniotic membrane transplantation (AMT), mucous membrane transplantation (MMT), cultivated limbal epithelial transplant (CLET), simple limbal epithelial transplant (SLET), minor salivary gland transplantation (MSGT), keratoprosthesis (KPRO) are also performed for various ocular surface disorders.  

The aim of the glaucoma clinic is to evaluate patients with raised IOP with optic neuropathy and plan their appropriate management. We have a glaucoma laboratory for high end research and clinical purposes. Glaucoma laboratory is equipped with Casia AS-OCT, Spectralis OCT for RNFL and GCC, HRT, UBM and tonometers like Tonopen, I Care and Perkins for IOP measurements in patients with scarred cornea, pediatric and uncooperative patients. High volume of patients allow us to undertake long term outcome studies on standard techniques and different surgical modifications which enhances our knowledge and understanding of the disease in general.

  We provide laser treatments like Laser Peripheral Iridotomy, Selective Laser Trabeculoplasty for early Glaucoma, Trans-scleral DLCP, Micropulse laser therapy for refractory glaucoma. Surgical cases include pediatric glaucoma and adult glaucoma with uncontrolled IOP. Pediatric glaucoma managed with Goniotomy, Trabeculotomy, Trabeculotomy with trabeculectomy with Mitomycin C. Adult glaucoma managed with Phacoemulsification with ICG guided BANG (Bent Ab interno Needle Goniectomy), Phacoemulsification with ECP (EndoCyclo Photocoagulation), Trabeculectomy with Mitomycin C, Trabeculectomy with deep sclerectomy, Glaucoma Drainage Devices.

 

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