Department Of Ophthalmology



DR. Muneesh Kapoor
The Ophthalmology Department at Narinder Mohan Hospital is equipped with all necessary modern equipment like Hi-Relsolutin Japenese Slit Lamp, Computerised Keratometer & Autorefractometer NIDEK JAPAN A-Scan Biometer Phacoemulsification Machines (OPTIKON ITALY & NIDEK JAPAN), Applanation Tonometer (Japan) Computerised Perimeter , Operating Microscope (Nippon Japan & Tkagi-Japan), Direct & Indirect Opthalmoscopes (Wellch Allyn USA)
We have the facility of Video Angiography ( 5.2 Megapixels) for detection of Retinal Diseases First time in Northern India at City Branch .The Department has the distinction of installing the first Phacoemulsification unit & Starting IOL surgery in Ghaziabad. The Department is offering in-depth study of cases suffering from Cataract Glaucoma, Low Vision and Contact Lens. There is also an optical shop for spectacles . The Department has a team of specialised surgeons & has been operating Thousands of cases of Cataract using most modern technique of Micro-Phacoemulsification with Foldable/Multifocal Lens implantation & retinal diseases.

Facilities Available :
  • Advanced Micro-Phacoemulsification
  • Glaucoma
  • Squint
  • Diabetic Retinopathy
  • A Scan Ultrasound & Computerised Perimetry
  • Contact Lens
  • Lacrimal Apparatus
  • Yag Laser Retinal Laser & Surgery
Eye Faq's
CATARACTS
If the lens becomes cloudy, the light reaching the retina is blurred and distorted, and your vision is affected. This clouded lens is called a cataract, and it must be removed before vision can be restored. A clouded lens can be compared to a window that is frosted or "fogged" with steam. Cataracts are not cancerous. They can be treated with a surgical procedure that has become a fairly common procedure in the Modern World.

The two most common types of cataracts are: the cortical cataract and a posterior subcapsular cataract. Depending on the type of cataract, a patient will experience different vision problems, but the most common cataract symptoms include:
  • blurring vision
  • sensitivity to sunlight or glare while driving
  • double vision in one eye
  • poor night vision
  • needing brighter light to read
  • experiencing fading or yellowing of colors.
  • Loss of near sight
What is Cataract?
The human crystalline lens, is the primary focusing mechanism of the eye is clear. With age, it becomes cloudy and opaque, thereby hampering vision. Any opacity in the crystaltine lens is called cataract.

When to get surgery done?
Cataract should be removed when it begins to affect your daily activities. When glare or blur interfere while you are driving, it is time to consider having surgery. DO NOT WAIT FOR THE CATARACT TO GET MATURE for this may lead to complications and a more difficult surgery. CATARACT SURGERY CAN BE PERFORMED IN ANY SEASON.

What is life of intra-ocular lens
normally it outlasts a lifetime .
Micro-Phacoemulsification

Micro-Phacoemulsification is the most modern method of removing a cataract lens using a sub 2 mm hole . This surgery is done under Local / Topical anaesthesia and no stich is applied. So this is least traumatic to the eye.
The advantages of phacoemulsification are .
1 Early mobility of pt. early visual rehabilitation.
2. Stitchless surgery. 3. Final glasses can be prescribed after
3 weeks as compared to 10 weeks after conventional surgery.

Fluorescein-Angiography
F.A. is a technique of studying structure integrity & patency of blood vessels (especially of retinal & iris) using a dye fluorescien. This dye after absorbing the visible light gets activated & emits radiations which can be visualisd by using special filters (cobalt-blue). F.A. not only helps in diagnosis but also helps to plan the treatment modalities for a particular patients.

Pre-requisities for Fluorescein Angiography
1. Patient should be empty stomach for 4 hours.
2. Fully dilated pupil

Adverse effect of the dye in some patients.
1. Nausea & Vomiting
2. Allergic reactions sometimes
3. Vasovagal shock in rare cases
4. Yellow/red discolouration of urine , skin & nails which passes off with time approx 36 hrs.

Diabetic Retinopathy
In diabetic retinopathy, Green Laser is used mainly for treatment. For this only pupillary dilatation is needed. Green Laser is used to prevent the progression of the retinopathy, so that the sight of a person can be maintained.

What is PCO?
In about 10 to 90 percent of patients who have a cataract removed, the capsule becomes cloudy several months to years after the original surgery it is not a complication rather a sequalae of cataract surgery. Often this condition is referred to as a "secondary cataract." However, this does not mean that the patient has another cataract; it is only the capsule - not the artificial lens - that has become cloudy.
If this cloudiness blurs your vision, a clear opening can be painlessly made in the center of the posterior capsule membrane with a YAG laser. This procedure is done on an outpatient basis in about 15 minutes, without injections. This is the only instance in which a laser can be used for a cataract-related treatment.

Consultants:
Dr. Muneesh Kapoor M.B.B.S., M.S. (KGMC ), F.I.C.S.
Dr. Vinita Arora D.N.B., M.S.

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