Services & Procedures

The Department of Ophthalmology at CARE Hospitals is equipped with the latest diagnostic and surgical facilities to deliver comprehensive services and patient care — from simple routine eye examinations to the most complex surgical cases. The following procedures & treatment options are provided:

General Eye Check-up

The Department of Ophthalmology provides general ophthalmic care, which includes routine eye examinations, laser, medical, and surgical care for all types of conditions of the eye and the surrounding structures. Patients are screened for specific ocular problems and, if necessary, referred to the appropriate specialty services. The general ophthalmology services also offer a daytime clinic for emergent eye problems, diagnosis, care and consultations.

Cataract Services

Cataract is a clouding of the lens of the eye. When we look at something, light rays travel into our eye through the pupil and are focused through the lens onto the retina, which is a layer of light-sensitive cells at the back of the eye. The Department of Ophthalmology treats cataracts and the entire range of conditions affecting the front portion of the eyes. Generally, cataracts occur due to aging, prolonged exposure to ultra violet rays, diabetes, eye injuries and prolonged use of systemic steroids.

The Department of Ophthalmology provides the following treatment options for cataract:

  • Cataract extraction
  • Cataract surgery with phacoemulsification & foldable lens implantation surgery
  • Cataract surgery with intra ocular lens implant (IOL) — the IOL may be unifocal, multifocal or toric
  • Secondary lens implant
  • Combined cataract and glaucoma surgery
  • No injection, no stitches, no bandage surgery
  • Bi-manual micro-incision phacoemulsification (Phakonit)
  • Refractive cataract surgery
  • Small incision cataract surgery (SICS)
Management of Squint

Squint surgery is a day care surgery. During the surgery, one or more muscles are weakened or strengthened (by moving their attachment backward or forward) to make the eye straight. The procedure is done under local anesthesia in adults and under general anesthesia in children. In very rare cases, more than one operation is needed. Sometimes the squint is too large and hence a two-stage surgery is planned. Squints are treated by the following procedures:

  • Oculoplasty
  • Complete evaluation of eye deformities
  • Ptosis surgery
  • Oculoplasty corrective surgery
  • Reconstructive orbital surgery
  • Orbitotomy for orbital tumor
Glaucoma Services

Glaucoma is a disease of the eye which can affect vision without any warning or symptoms. As peripheral vision is lost initially, patients fail to notice it. Hence, glaucoma is known as “the thief of sight”. It can occur in any age group, but the vast majority of cases occur among the elderly.

Risk factors for glaucoma include: age above 40 years, diabetes, myopia, a mature cataract, trauma, certain retinal diseases and a family history of glaucoma. Vision once lost due to glaucoma cannot be regained.

The Department of Ophthalmology offers specialized treatment for glaucoma. Patients are investigated thoroughly using the perimetry test. Treatment aims at preserving the optimum vision and quality of life. Our services treat the complete range of glaucoma related conditions, including:

  • Open-angle glaucoma
  • Angle-closure glaucoma
  • Secondary glaucoma
  • Exfoliation glaucoma (pseudoexfoliation syndrome)
  • Glaucoma associated with retinal diseases
  • Glaucoma secondary to eye trauma
  • Juvenile onset glaucoma
  • Neovascular glaucoma
  • Childhood glaucoma

Our state-of-the-art diagnostic facilities, which enable ideal patient treatment options, include:

  • Automated perimetry
  • Color vision testing
  • Visual field testing
  • Pachymetry to measure corneal thickness, an important risk factor
  • Intraocular pressure measurement (applanation tonometry)
  • Frequency doubling perimetry
  • Heidelberg retinal tomography (HRT II)
  • Optical coherence tomography (OCT)
  • Optic disc and fundus photography

Glaucoma laser services include:

  • Cyclophotocoagulation
  • Laser iridectomy
  • Laser trabeculoplasty
Cornea Services

Our specialists are dedicated to providing excellent patient care across the complete spectrum of medical and surgical problems involving the cornea, lens, ocular surface and other structures related to the anterior segment of the eye. The specific conditions treated include complete corneal diagnostics, corneal ulcer treatment and dry eye management. The department provides the following services:

  • Corneal tear repair
  • Corneal transplantation
  • Full thickness (penetrating keratoplasty)
  • Deep anterior lamellar keratoplasty
  • Intalase enabled keratoplasty
  • Keratoprosthesis
  • Amniotic membrane grafting
  • Limbal stem cell transplantation

Neuro-ophthalmology is a subspecialty of ophthalmology and neurology dedicated to managing disorders of the eye caused by or associated secondarily with diseases of the brain, brain tumor, trauma, etc. The department brings together subspecialists from multiple disciplines (neurologists and neurosurgeons) to evaluate and treat individuals, thus delivering complete, comprehensive care.

The following services are offered for a thorough evaluation of patients:

  • Testing of visual acuity
  • Color vision testing
  • Evaluation of the eye movements and ocular alignment
  • Visual field testing using kinetic perimetry, static perimetry, or both
  • VER testing
  • Select patients may also undergo a variety of other diagnostic tests, including CT scanning and MRI.
Ophthalmic Plastic Surgery

This specialty of ophthalmology includes oculofacial plastic surgery. This combines orbital and periocular surgery with facial plastic surgery and includes the clinical practice of aesthetic plastic and reconstructive surgery of the face, orbit, eyelid and the lacrimal system. Offering a unique combination of skills, ophthalmologists perform facial plastic surgery, eyelid surgery, orbital surgery and lacrimal surgery.

Vitreo-retinal Services

A healthy vitreous humor is crucial to normal eyesight because light entering the eye is transmitted through the vitreous humor to the retina. (The retina then transmits these impulses to the optic nerve, which carries them to the brain.)The vitreo-retinal services comprise a full spectrum of medical and surgical management of diseases affecting the posterior segment of the globe. The Department of Ophthalmology has the most modern retina laser machine, digital fundus camera and spectral domain OCT for the diagnosis and treatment of retinal disorders.

The department has state-of-the-art infrastructure and multidisciplinary expertise to treat the simplest cases to the most complex. They include:

  • Diabetic retinopathy
  • Hypertension retinopathy
  • Venous occlusions
  • Surgical retina services
Refractive Errors

Slight alterations in vision should never be neglected. It’s very important to get eye examinations by trained ophthalmologists and optometrists, employing advanced equipment. Uncorrected refractive errors can lead to impaired development of vision in children, as well as amblyopia or lazy vision and squinting of eyes.

Refractive errors are of 3 types:

Myopia or short-sightedness: In myopia the rays of light coming from a distant target get focused at a point in front of the retina. Glasses or contact lenses with a minus power are prescribed to focus the image onto the retina.

Hyperopia or long-sightedness: In hyperopia the rays of light coming from a distant target get focused at a point behind the retina. Glasses or contact lenses with a plus power are prescribed to focus the image onto the retina.

Astigmatism or cylindrical power: In astigmatism the rays of light coming from a distant target cannot focus at a single point on the retina. Doctors prescribe lenses of a different curvature to focus the light onto the retina.

Pediatric Ophthalmology

The Department of Ophthalmology at CARE Hospitals provides treatment for an extensive range of pediatric eye problems, such as sight-threatening conditions like pediatric glaucoma, cataract and congenital opacities of the cornea. It also provides comprehensive treatment options for the management of squint, double vision and other disorders of eye alignment and movement, management of amblyopia or lazy eyes, refraction in young children using eye drops (cycloplegic refraction), as well as general eye problems, such as eye sores, allergic conjunctivitis and lumps on the eyelids (stye and chalazion).

Computer Vision Syndrome

Computer Vision Syndrome is a vision-related problem that results from prolonged use of computers. Many individuals experience eye discomfort and vision problems when viewing a computer screen for extended periods. The level of discomfort appears to increase with the amount of computer use.

The most common symptoms associated with Computer Vision Syndrome (CVS) are eyestrain, headaches, blurred vision, dry eyes, neck pain and shoulder pain. They are caused by poor lighting, glare on the computer screen, improper viewing distances, poor seating posture and uncorrected vision problems. The Department of Ophthalmology at CARE Hospitals provides treatment solutions for all types of eye problems.

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