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Ophthalmology

Clinical focus
Broad area of work
Routine treatments rendered
In the OPD, procedures like visual acuity testing, tonometry, syringing, slitlamp examination,  indirect slit lamp biomicroscopy , Gonioscopy, direct & indirect ophthalmoscopy are routinely practised. 

Speciality Treatment
orbit clinic
Orbit and Oculoplasty is a newly emerging sub-speciality in the field of Ophthalmology. The focus of the Orbit and Oculoplasty services is on the evaluation and management of Orbital and adnexal disorders. The blemish created by lid abnormalities and socket deformities are corrected.
The Orbit and Oculoplasty services also deal with the management of orbital infections and inflammations with joint consultation with General physicians and ENT surgeons.
Patients with Thyroid Eye Disease are regularly being referred from the department of Endocrinology for thorough evaluation and management.
Blunt trauma and polytrauma needing intervention and orbital fracture reduction is intervened with OMFS co-ordination

Cataract and Refractive Surgeries
Cataract being a major cause of blindness in India, the Department of Ophthalmology, SRMU is doing its part in the eradication of blindness. The procedures that are being done are extracapsular cataract extraction, small incision cataract surgery with rigid IOL implantation and phacoemulsification with foldable lens implantation. Both coaxial and Bimanual phacoemulsification are done. Foldable lenses that are implanted include both unifocal and multifocal lenses.
A number of screening camps are held and patients who are found to require cataract surgery are operated in the New Block under the District Blindness Control Scheme.
Astigmatic Keratotomies and Limbal Relaxing incisions are routinely being done in the quest for restoration of normal vision.
Corneal blindness is the second leading cause of blindness in the developing world. Common causes of corneal blindness include trauma, infections and hereditary disorders. In the Cornea Clinic we manage the following conditions:                 
1.Microbial Keratitis – We have a full fledged microbiology and pathology back up where all the samples are processed. Appropriate treatment is started depending upon the micro reports.
2. Trauma - All open globe injuries are taken care of round the clock. Wherever needed consultation from other specialities are sought.
3. Penetrating and Lamellar Keratoplasty.
4. Contact Lens services.
We also have an Eye Bank which is affiliated to the Ramayama International Eye Bank, L V Prasad Eye Institute, Hyderabad. Donor eyes are retrieved by Enucleation / In situ excision. They are preserved in
M K (McKarey Kaufman) medium and are utilized for lamellar and Penetrating Keratoplasty. The Eye Bank also helps in creating awareness about eye donation to the public. 
Patient being evaluated in Cornea Clinic using TOPCON slit lamp

Retina Clinic
Eye being the index of systemic problems both for the young and the old, retinal examination becomes important in the complete examination of the eye. Blindness due to Diabetes is a major cause for irreversible blindness in old age. 8% of urban and 2% of rural population are diabetics. Diabetes, Hypertension, Renal diseases, Collagen vascular diseases, all affect the retina resulting in decreased vision. The Retina Clinic is equipped with state of the art Digital camera for documentation of retinal disesases and for Fundus Fluoresein Angiography. Retinal Lasers which is the mainstay in the management of Diabetic Retinopathy are being done. 

Patients with Rhegmatogenous detachments are operated. The procedures that are commonly done are explants or explants with encirclage. 

Uvea Clinic
The Uvea Clinic extends its services towards patients with ocular inflammatory diseases which includes uveitis. Although statistically, uveitis cases form only a small percentage of the total number of cases examined daily at the outpatient department, the magnitude and severity of ocular damage they can cause is extremely high. The new patients and the review patients are examined. Fundus fluorescein angiography, Optical coherence tomography and B scan are performed whenever required. A laboratory work up and radiological investigations are also done for all patients. 

Glaucoma Clinic
Glaucoma is an important, often undiagnosed cause of visual impairment.   In our clinic patients are screened for this important disease by various investigations including Tonometry, Gonioscopy, Perimetry,  Fundus examination & OCT. 

NEURO OPHTHALMOLOGY CLINIC 
The Neurophthalmology clinic deals with the evaluation and management of patients with ophthalmic manifestations of neurological diseases. These include Optic Neuritis, Papilloedema, Oculomotor palsies and diplopia.
The Neurophthalmological work up includes documentation of patient’s vision, colour vision, assessment of pupillary reaction, fundus examination and evaluation of visual fields by Humphrey’s field analyzer. Patients with diplopia are followed up with diplopia charting by Hess Screen. 

OCULOPLASTY CLINIC
Surgical correction of Ectropion(outward turning of eyelid), Entropion(inward turning of eyelid) and Ptosis(drooping of eyelid) are regularly being performed. Cosmetic surgery such as Brow lifts both internal and external is also done. Enucleation or Evisceration with orbital implants is performed when indicated. Patients who have undergone orbital implants are being fitted with either prefabricated prosthesis or custom made prosthesis with excellent results.
Baggy eyelids and droopy eyebrows can give rise to a tired appearance.When severe,these may even lead to impaired vision.Baggy eyelids and droopy eyebrows can be corrected by what is known as Aesthetic eyelid surgery. 

SRU Eye Bank:
The  Eye Bank in SRU started functioning  from September 24 1996. The department of ophthalmology  was initiated with the aim of promoting awareness on eye donation by educating and motivating the public for this noble cause. The SRU Eye Bank, over the last 17 years, has seen a tremendous increase in the number of eye donations. From a mere 288 eyes from 1996 to 2005, 960 eyes were collected from 2006 to 2012.

Exclusive Facilities:
24 hours round-the-clock service.
Dedicated phone line (24 Hours ) 044-24765515-30,extn 8219,8152,8218
Direct line to the Manager
Structured procedure for procurement and corneal button processing with sterile
 precautions under laminar flow.
Evaluation of donor tissue by Slit Lamp, Specular Microscopy 
Appropriate serological screening of the donor blood sample.
Preservation in storage media.

Equipment Specialization/ Technological Advances in Equipments

Department is equipped with latest state-of-the-art equipment like 
Phaco machine         - Bausch & Lomb STELLARIS – PC 
                                 - Appasamy Associates GALAXY 
                                 - Appasamy Associates TURBOVIT
 
Operating Microscope         - Carl Zeiss OPMI-1FR-pro
                                             - Zeiss OPMI Visu160 with BIOM
                                             - Takaki
Slit Lamps – Topcon S/L
Appasamy Associates – 15 - (Chair Unit attached & Mobile)
 OCT-Spectral Domain Technology – Zeiss CirrusTM  HD-OCT
 Ultrasound B-scan machine  – Appasamy Associates
 Ultrasonic A-scan / Biometer – Appascan AME-01A
 Specular Microscope – Topcon SP 3000P
 Image net - Appasamy Associates 
 Fundus Photography - Zeiss – FF 450plus 
 Slit lamp laser – Zeiss Visulas  Yag IIplus
Slit lamp laser – Zeiss HK 7000 LSL 532s
 Indirect laser delivery 
 Endolaser