Ophthalmology

  • Cataract Surgery.

Cataract surgery is the removal of the natural lens of the eye (also called “crystalline lens”) that has developed an opacification, which is referred to as a cataract.Metabolic changes of the crystalline lens fibers over time lead to the development of the cataract and loss of transparency, causing impairment or loss of vision.

  • Glaucoma surgery.

Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure (IOP). There are many glaucoma surgeries, and variations or combinations of those surgeries, that facilitate the escape of excess aqueous humor from the eye to lower intraocular pressure, and a few that lower IOP by decreasing the production of aqueous

  • Cornea Transplant.

Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft). When the entire cornea is replaced it is known as penetrating keratoplasty and when only part of the cornea is replaced it is known as lamellar keratoplasty. Keratoplasty simply means surgery to the cornea. The graft is taken from a recently dead individual with no known diseases or other factors that may affect the chance of survival of the donated tissue or the health of the recipient.

  • Pterygium Surgery.

A pterygium is a pinkish, triangular tissue growth on the cornea of the eye.It typically starts on the cornea near the nose. It may slowly grow but rarely grows so large that the pupil is covered. Often both eyes are involved.It appears to be partly related to long term exposure to UV light and dust.Genetic factors also appear to be involved.It is a benign growth.Prevention may include wearing sunglasses and a hat if in an area with strong sunlight.

  • Complex Vitreo-Retinal Surgery.

Retinal detachment is a disorder of the eye in which the retina separates from the layer underneath. Symptoms include an increase in the number of floaters, flashes of light, and worsening of the outer part of the visual field. This may be described as a curtain over part of the field of vision.

  • Complex Ocular Trauma Surgery.

Ocular trauma comprises a specialized group of penetrating and blunt force injuries to the eye and its structure caused by the detonation of explosive materials. The incidence of ocular trauma due to blast forces has increased dramatically with the introduction of new explosives technology into modern warfare.

  • Corneal and Corneo-scleral Tear Repair.

A corneoscleral laceration is surgically treated. Medications play a secondary role. Intravitreal, intracameral, topical, and systemic antibiotics are used for prophylaxis against infections. Topical steroids are used to reduce postoperative inflammation. Cycloplegics may be used to relieve ciliary muscle spasm. Elevated intraocular pressure is not uncommon as a result of the injury per se or due to associated inflammation.

  • LASIK Laser Treatment ( Vision correction ).

LASIK or Lasik (laser-assisted in situ keratomileusis), commonly referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism. The LASIK surgery is performed by an ophthalmologist who uses a laser or microkeratome to reshape the eye’s cornea in order to improve visual acuity. For most people, LASIK provides a long-lasting alternative to eyeglasses or contact lenses

  • Treatment of Ocular Chemical Injuries.

Many ocular burns can be adequately managed in the emergency department (ED). The emergency physician should consider at least a telephone consultation with an ophthalmologist for any patient with significant chemical eye exposure. Any serious thermal burn, any alkali chemical globe exposure, or any vision-threatening injury most likely warrants emergent ophthalmologic consultation.

  • Treatment of Corneal Ulcers

A corneal ulcer is a painful sore on the clear thin covering of the eye.These are more likely to affect people who wear contact lenses and are often caused by infections.Having a corneal ulcer may feel like there’s something in the eye and you may be more sensitive to bright light.Left untreated, a corneal ulcer can lead to permanent vision problems.

  • Treatment for a corneal ulcer will usually be with antibiotic or antiviral eye drops.
  • If contact lenses are usually worn, use glasses instead until the corneal ulcer heals.
  • A cool compress, like a damp cold flannel, may help with the symptoms.
  • Try not to touch, rub or irritate the eye.
  • Make sure hands are washed often to help stop spreading the infection to the other eye.
  • Painkillers, such as paracetamol or ibuprofen, may help with the pain from the corneal ulcer.
  • Hospital treatment may be needed if the problem is severe and a corneal transplant procedure may be needed in severe cases.
  • With the correct treatment, corneal ulcers should improve within 2 to 3 weeks.
  • After seeing an eye specialist for the corneal ulcer, get back in touch or seek medical advice if symptoms or pain worsen.
  • Amniotic Membrane Grafting

Amniotic membrane graft as an adjunctive therapy after removal of primary pterygium, and to compare the clinical outcome with conjunctival autograft and topical mitomycin C.

  • Tissue Adhesive and BCL

Tissue glue is increasingly becoming a choice of material as an adjuvant to surgical wound closure in ophthalmology. Each of the type of glue is unique in terms of its advantages as well as limitations and so is used in different indications. Although the presently available tissue adhesives are good enough for the procedures mentioned, there is still a demand for newer adhesives.

  • Intravitreal Injections of Steroids and anti-VEGF

Intravitreal anti-vascular endothelial growth factor (VEGF) therapy is frequently used as one of the main treatments for many retinal pathologies, including age-related macular degeneration (exudative), diabetic macular edema and retinal vein occlusion. The use of anti-VEGF agents has increased in recent years and now constitutes one of the most common procedures in ophthalmology.

  • Ocular Foreign Body Removal

A corneal foreign body is an object (eg, metal, glass, wood, plastic, sand) either superficially adherent to or embedded in the cornea of the eye (see the image below). The removal of a corneal foreign body is a procedure commonly performed in the clinic or emergency department setting. If corneal foreign bodies are not removed in a timely manner, they can cause prolonged pain and lead to complications such as infection and ocular necrosis.

  • Lid Surgeries( Simple and Complex)

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids.Surgery can be performed on the upper lids, lower lids or both.Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

    What eyelid surgery can treat

  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
  • Fatty deposits that appear as puffiness in the eyelids
  • Bags under the eyes
  • Drooping lower eyelids that reveal white below the iris
  • Excess skin and fine wrinkles of the lower eyelid
  • Botox Application

Botulinum toxin is predominantly used as a treatment to reduce the appearance of facial wrinkles and fine lines. Beyond aesthetic applications, Botox is used to treat a variety of medical conditions, including eye squints, migraines, excess sweating, and leaky bladders.

  • ICL Implantation

The implantation procedure for the ICL (Implantable Contact Lens) is refractive eye surgery that involves a procedure similar to the intraocular lens (IOL) implantation performed during cataract surgery. The main difference is that, unlike cataract surgery, the ICL eye surgery does not require the removal of the eye’s natural lens. The ICL procedure is a relatively short outpatient procedure that involves several important steps. The surgical procedure to implant the ICL is simple and nearly painless. As a ICL candidate, your doctor will prepare your eyes one to two weeks prior to surgery by using laser to create a small opening between the lens and the front chamber of your eye (iridotomy). This allows fluid to pass between the two areas, there by avoiding the buildup of intraocular pressure following the surgery. However, some surgeons choose to do this step on the same day of the surgery.