The C J Shah Cornea Services at Sankara Nethralaya, established in 1978 and presently headed by Dr Prema Padmanabhan, is a centre dedicated to the management of corneal disorders. The department consists of 8 well-trained corneal surgeons and is well equipped with instrumentation and technology to provide state-of-the-art care for patients suffering from a wide variety of corneal disorders. The department has an elaborate academic and surgical training programme for fellows in cornea and external eye diseases. Research programme encompasses both basic and clinical work involving corneal diseases and transplantation. In a year about 45,000-50,000 outpatients are seen and about 3,500 surgeries are performed in the department. A total of 1200-1300 refractive surgeries and 650-700 corneal transplants are done each year.
Clinical Profile:
The department caters to the efficient diagnosis and management of a wide range of diseases:
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Congential and hereditary cornea disorders |
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Corneal infections |
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Allergic eye diseases |
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Immunologic disorders of cornea |
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Keratoconus and other corneal degenerations |
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Ocular surface disorders including severe dry eye, blepharitis, chemical injuries, Stevens Johnson's syndrome |
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Ocular surface tumors |
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Refractive errors |
Surgeries
The department offers most recent advances in the field of corneal surgery which include:
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Penetratingkeratoplasty: |
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(Optical, tectonic and therapeutic) with anterior segment reconstruction, Combined with SFIOL Vitreo-retinal procedures and Paediatric PK |
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Lamellar corneal surgeries: |
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Including Deep Anterior Lamellar Keratoplasty (DALK), Deep Lamellar Endothelial Keratoplasty (DLEK) and Descemet's Stripping EndoKeratoplasty (DSEK), Automated Lamellar Therapeutic Keratoplasty (ALTK) |
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Refractive corneal surgery: |
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Refractive surgery offers the state of art facility for various laser refractive procedures like LASIK, Epi-LASIK, PRK and Wavefront guided customized ablation |
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Ocular surface reconstruction surgeries |
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Collagen Cross Linking for keratoconus |
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Ocular Surface Clinic:
The first of its kind in the country, caters to a wide variety of surface disorders including dry eye, chemical injuries, Stevens Johnson syndrome and ocular surface neoplasias. The surgical management includes:
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Ocular surface reconstruction |
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Pterygium surgeries |
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Stem cell transplantation (limbal autografts and allografts) including Ex-vivo stem cell culture and transplantation |
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Amniotic membrane transplantation |
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Mucous membrane grafting |
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Modified osteo-odonto keratoprosthesis(MOOKP) for severe bilateral end-stage ocular surface disorders |
Recent Advances
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Customized laser refractive surgery : |
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A strategy to correct not only the refractive error but also the other optical imperfections of the eye, known as aberrations. |
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Facilities & Diagnostic Services
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CornealTopography(PENTACAM,TMS-4,TOPOLYZER) |
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Evaluates shape and power of corneal surface. The Pentacam, based on the Schiempflug photography is unique in that it provides |
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invaluable information that other instruments are incapable of measuring. |
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Pachymetry |
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Measurement of corneal thickness |
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Aberrometry |
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Measures the optical aberrations of the eyeball |
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Specular Microscopy |
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Study of the corneal endothelium (cells that maintain corneal clarity) |
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Anterior segment digital photography |
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Microbiological and histopathological evaluation of diseases of external eye diseases |
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Immunohistopathlogicial diagnosis of various immune disorders |
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Specialized Contact lens fitting – for irregular cornea, keratoconus and for therapeutic purposes |
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Eye Bank |
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24 hour corneal tissue retrieval, assessment and processing under laminar flow and storage. A dedicated team that promotes awarness of eye donation. Can be contacted through dedicated telephone line number 28281919 |
Teaching activities
Postgraduate teaching:
Aims at providing an in-depth knowledge of various corneal disorders and diagnostic procedures to the postgraduate students.
The Cornea Fellowship training programme:
Comprehensive training programme in various aspects of medical and surgical management of corneal disorders
Research activities
Major ongoing research projects are:
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Ex-vivo stem cell culture on human amniotic membrane |
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Ex-vivo stem cell culture on thermoreversible synthetic polymer |
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Evaluation of efficacy and safety of episcleral implants for high risk corneal grafts |
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Multicenter clinical trials involving , various durgs, implants and contact lenses |
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Genetic diseases in corneal dystrophies |
Faculty
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PREMA PADMANABHAN, MS |
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RAMA RAJAGOPAL, DO, DNB, FRCS Ed |
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RADHIKA NATARAJAN, DO, DNB, FRCS Ed |
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R R SUDHIR, DO, DNB, MPH |
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GEETHA K IYER, DO, FRCS Glasgow |
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BHASKAR SRINIVASAN, MS, DNB |
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VINAY S PILLAI, DO, DNB |
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ADITI JOHIRI, MS, DNB |
| Head of the Department - Cataract and IOL Surgery |
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Dr Prema Padmanabhan,
Sankara Nethralaya, JKCN Complex,
21, Pycrofts Garden Road,
Chennai - 600 006.
Email ID : drpp@snmail.org
Tel: 91-44-28233556, 28271616, 28311913
Extn: 2251 |
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