• Slide Image
  • Slide Image
  • Slide Image
 

SPECIAL EXPERTISE


ASSESSMENT OF SQUINT IN CHILDREN AND ADULTS


Orthoptic assessment involves accurate assessment of vision, ability to use both eyes simultaneously giving information about the various grades of binocular vision , assessment of angle of squint and planning surgical and or non surgical treatment of squint. We also give the valuable support for individuals who have a paralytic squint from a stroke in the brain. Treatment of lazy eye , management of double vision following surgery is undertaken with the help of our orthoptic assessment.

SQUINT SURGERY


The state of the art squint correction using fornix incisions ( hidden incisions to improve cosmetic appearance) with modified hang back techniques used in weakening overacting muscles adds perfection to the final result . Squint surgery in both adults and children can easily be performed as a day procedure at out Apollo Day Surgery with no need for overnight hospital admission.

Usage of Botulinum toxin in adults as a simple out patient procedure under topical anaesthesia under EMG monitoring offers an easy solution to the problem of double vision and consecutive squints in adults.

Early correction of children with abnormal head postures due to poor ocular alignment and or presence of Nystagmus ( wobbly eyes) can be achieved by changing the ocular position (by applying the principles of squint surgery ) may help to normalise the development of the the neck and the cervical spine.

CATARACT SURGERY IN CHILDREN AND ADULTS


Although cataract formation in the lens of the eye is often a disease of the ageing eye, it can sometimes occur in children - either at birth or later in life. In this situation, the condition assumes special significance, since it can seriously damage the development of the eye and the visual system, if not treated early.

Such changes in the lens occur due to a variety of causes - trauma, genetic causes, due to inflammation in the eye, infections in the mother during pregnancy, in association with other conditions affecting the eye and body, tumors and sometimes after the use of medications or radiation to treat other conditions.

Children with lens changes often do not see well with that eye. This can be noted by alterations in head posture, as the child tries to preferentially use the better eye, the appearance of a squint in the affected eye, a constant side to side shaking movement of the affected eye and in advanced cases - a white reflex in the center of the cornea of the affected eye.

Children with cataracts require careful evaluation of the affected eye to determine the need for and appropriate timing of surgery. Surgery in children is more complex than in adults - since the eye is smaller, is more reactive, and the proper placement of the intraocular lens is critical.

Apart from the surgical techniques used, the postoperative care and proper use of medicines is vital, as is the need for techniques of visual rehabilitation. If the above guidelines are properly adhered to, good visual outcomes are the rule.

ADVANCED CATARACT SURGICAL MANAGEMENT :


  • Advanced counseling for premium intra ocular lenses after careful preoperative assessment of patients’ needs and expectations.
        Intraocular lens design chosen to suit individual needs of a patient.
  • State of the art IOL master for accurate calculation of intraocular lens power to give the best post operative results.
  • Astigmatic keratotomy and neutralising incisions for best refractive outcomes and excellant unaided vision post operatively.
  • Cataract surgery performed by worlds most advanced and experienced cataract surgeons practising Micro incision cataract surgery.
  • Use of premium lenses from the very best manufacturers of intra ocular lenses in the world
  • Advanced quality phacoemulsification systems and theatre equipment with strict quality control to achieve best results and to minimiserisks.
  • Close post operative follow up to ensure uneventful post operative recovery

  • Screening Neonates for Retinopathy of Prematurity and treatments


    Conduct weekly screening of “at risk” neonates at the Neonatal Intensive care Units to detect and track progress of Retinopathy of Prematurity and take decisions and carry out LASER treatments .