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Department of glaucoma

Overview

Glaucoma is a leading cause of blindness globally and it is estimated that more than 12 million people in India suffer from it. It is a family of more than 30 diseases that affects pressure within the eye (intraocular pressure) and damages the optic nerve.  Often called the ‘sneak thief’ of sight, people with most forms of glaucoma do not have symptoms until the optic nerve is already severely damaged. If diagnosed early, the disease can be controlled and permanent vision loss can be prevented.

Who We Are

Glaucoma services at SCEH are dedicated to providing the best care to our patients. This vertical is led by a team of experienced doctors and trained optometrists and paramedical staff. The glaucoma facility at SCEH is equipped with state-of-the-art technology to carry out all interventions that may be required to treat the disease.The team, updated with protocols of medical and surgical practices of treatment, is one of the first to carry out minimally invasive glaucoma surgeries (MIGS) in India. It caters to the entire spectrum of the disease including complex paediatric and refractory glaucoma. The acceptable preferred practice guidelines are followed to provide appropriate comprehensive care individualised to patients’ needs.

Key Facts & Figures for year 2023 - 24

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Our Experts

Diagnosis & Treatment

Apart from a keen clinical acumen to diagnose glaucoma, we are well equipped with state-of-the-art equipment like Visual field Analyser(VFA), Pachymetry, ASOCT, Optical Coherence Tomography (OCT/ OCT-A) and fundus camera. Surgical procedures including Trabeculectomy, MIGS, GDD and TSCPC are done under local or general anesthesia depending on the management plan.  We also perform lasers procedures including YAG, SLT and Argon .

Conditions We Treat

The eye pressure is high but the nerve damage has not yet begun. We treat the condition based on the associated risk factors.

The angle is open but not functioning properly; hence, the outflow of fluid is hampered, increasing the eye pressure. It can be primary or secondary to other ocular or systemic conditions. We provide medical, laser and surgical management including SLT, trabeculectomy, MIGS and glaucoma drainage devices.

The angle is narrow or closed can cause a sudden painful eye condition leading to loss of vision.  It can also be primary or secondary and we treat it with lasers like including YAG, argon and surgical and medical approach. We also offer cyclodestructive procedures like TSCPC.

It is a type of glaucoma where the optic nerve becomes damaged despite normal eye pressure. The optic nerve may be sensitive or experience less blood flow. We optimise the treatment based on the associations.

A child may be born with glaucoma or develop it in the first few years of life. We specialise in providing surgical options like Trabeculectomy with Trabeculotomy, Goniotomy and Glaucoma drainage devices.

We diagnose and treat various kinds of secondary glaucoma like those following vitreo retina surgery, corneal surgeries, trauma, inflammation, certain drugs such as steroids and advances case of cataract or diabetes. The type of treatment depends on the underline cause. We offer medical, laser and surgical options as per the individual case requirements. 

Routinely performed procedures

  • Tonometry
  • Gonioscopy
  • 90d Examination
  • Disc Photo
  • Optical Coherence Tomography (OCT)
  • Humphrey Visual Field (HVF)
  • Pachymetry
  • ASOCT
  • UBM
  • YAG PI
  • SLT
  • Argon Laser Suturolysis
  • Trabeculectomy+MMC/ Combined Cataract Surgery + Trabeculectomy
  • Tube implants: AGV, AADI
  • Minimally Invasive Glaucoma Surgery (MIGS)
  • Trans Scleral Diode Laser Cyclophotocoagulation (TSDLC)
  • Trabeculotomy
  • Combined Trabeculotomy + Trabeculectomy
  • Goniotomy

Other Facilities

Vision Rehabilitation

Patient Stories

OUR EDUCATION, PUBLICATIONS & RESEARCH FIGURES (2022)​

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Education

SHORT-TERM COURSES:

We conduct short term hands on courses which include wet-lab, didactic lectures and hands on in OT in: TRABECULECTOMY, TUBE IMPLANT, MIGS

LONG-TERM FELLOWSHIP:

We enroll 2-3 fellows every 6 months.  Duration: 2 years, 6 months additional for research fellows.

ORBIS-SCEH GLAUCOMA PROJECT

We are also conducting short term observerships and long term fellowships in collaboration with Orbis.

TRAINING PROGRAMME

Training and knowledge enhancement are ongoing activities, with various diagnostic and clinical workshops being conducted at regular intervals for doctors/optometrists/vision technicians and allied ophthalmic paramedics. There are long- and short-term fellowships for national and international fellows. More than 100 glaucoma fellows have been trained in the last few years.

HOSPITAL BASED TRAINING PROGRAMME 2022

Dr. Shroff’s Charity Eye Hospital (SCEH) in collaboration with Orbis organized a HBT program in glaucoma (Glaucoma Drainage Device implantation) from 19 th – 23 rd September 2022. Two hands on surgeons and four observer surgeons were trained during this HBT.

All the trainees completed the Cybersight EyeQ course on Glaucoma. Wet lab training, hands-on training in the OR was conducted followed by discussion and CME.

* Training on Minor OT procedures, both didactic and hands-on

RESEARCH

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MAJOR PUBLICATIONS

  • Consensual eye intra ocular pressure rise following unilateral glaucoma surgery.

    Rajsrinivas D, Dubey S, Pegu J, Majumdar A. Indian J Ophthalmol. 2023 Mar;71(3):873-879. doi:10.4103/ijo.IJO_1909_22. PMID: 36872698.
  • Acquired ectropion uveae: A case series.

    Daga D, Dubey S, Gandhi M. Oman J Ophthalmol 2023;16:98-102
  • Response comments on: A deep dive into the latest European Glaucoma Society and Asia-Pacific Glaucoma Society guidelines and their relevance to India.

    Murthy GJ, Ariga M, Singh M, George R, Sarma P, Dubey S Choudhry RM, Parikh R, Panday M. Indian J Ophthalmol. 2023 Jan;71(1):315. doi: 10.4103/IJO.IJO_3140_22. PMID: 36588268
  • Incidence of vitreous loss and visual outcome following cataract surgery by surgeons with various levels of experience at a tertiary eye care center in North India.

    Sharma, Dushyant Kumar; Bharti, Gaurav1; Pegu, Julie; Bhumbla, Shayana; Paul, Lagan2; Agarwal, Manisha2; Shah, Gaurav3; Mathur, Umang4 Indian Journal of Ophthalmology: November 2022 - Volume 70 - Issue 11 - p 3982-3988 doi: 10.4103/ijo.IJO_1578_22
  • Comments on: Comparison of long-term outcomes of trabeculectomy and risk factors for failure in eyes post penetrating keratoplasty or Descemet's stripping endothelial keratoplasty.

    Rajsrinivas D, Pegu J, Gandhi M, Dubey S, Goel P. Indian J Ophthalmol. 2022 Oct;70(10):3741-3742. doi: 10.4103/ijo.IJO_1399_22. PMID: 36190098; PMCID: PMC9789849.
  • Response to comments on: Correlation between choroidal thickness and intraocular pressure control in primary angle-closure glaucoma.

    Pegu J. Indian J Ophthalmol. 2022 Aug;70(8):3161. doi: 10.4103/ijo.IJO_1143_22. PMID: 35919006; PMCID: PMC9672732
  • Association of primary angle-closure disease in patients with retinal vein occlusion in North Indian population.

    Bhoot M, Pegu J, Bhumbla S, Dubey S, Agarwal M, Mukherjee S, Harish HS. Indian J Ophthalmol. 2022 Aug;70(8):3016-3020. doi: 10.4103/ijo.IJO_169_22. PMID: 35918964; PMCID: PMC9672784.
  • Insights into the genetics and pathogenesis.

    Kaushik S, Dubey S, Choudhary S, Ratna R, Pandav SS, Khan AO. Anterior segment dysgenesis. Indian J Ophthalmol. 2022 Jul;70(7):2293-2303. doi: 10.4103/ijo.IJO_3223_21. PMID:35791109; PMCID: PMC9426159.
  • Iris cysts Varied presentations and review of literature.

    Dubey S, Pegu J, Jain K. Saudi J Ophthalmol. 2022 Jun 13;35(4):341-346. doi: 10.4103/sjopt.sjopt_228_21. PMID: 35814992; PMCID: PMC9266481.
  • Incidence and risk factors for post-penetrating keratoplasty glaucoma.

    Shree N, Gandhi M, Dave A, Mathur U. Indian J Ophthalmol. 2022 Apr;70(4):1239-1245. doi: 10.4103/ijo.IJO_1470_21. PMID: 35326024; PMCID: PMC9240495.

Projects

ORBIS-SCEH GLAUCOMA PROJECT

To boost the current training facilities, SCEH in partnership with Orbis aims to strengthen the infrastructure and build training capacity in glaucoma through Digital Training Hub. It also offers blended sandwich fellowships, observerships and HBT, webinars and CMEs.

Why SCEH

At Dr. Shroff’s Charity Eye Hospital, we take great pride in offering the finest glaucoma treatment with our team of top-notch glaucoma specialist doctors. Our hospital was the pioneer in conducting Trabectome surgery, and we excel in diagnosing and managing all types of glaucoma cases.

Equipped with state-of-the-art technology, we provide comprehensive clinical eye care while prioritizing the quality of treatment for every patient. Our dedicated team consists of eminent doctors from around the world, many of whom are pioneers in their fields and known for their innovative and revolutionary clinical procedures.

Overall, the combination of advanced equipment, skilled specialists, and a commitment to providing excellent patient care makes Dr. Shroff’s Charity Eye Hospital an excellent choice for those seeking glaucoma treatment and comprehensive eye care

For more queries on Glaucoma eye treatment or glaucoma surgery in Delhi and north India, contact us at 011- 4352 4444 email: sceh@sceh.net