Department of Glaucoma - SNC Chitrakoot

Introduction

The Glaucoma services of Sadguru Netra Chikitsalaya has experts who treat patients with conditions that have a poor prognosis, including those who have had unsuccessful glaucoma surgery or have secondary glaucoma, advanced glaucomatous optic atrophy and patients who have vision in only one eye. Congenital and childhood glaucoma are also part of the special expertise. Our ophthalmologists specialize in all types of glaucoma — congenital, combined mechanism, narrow angle, open angle, and normal tension.

Team

Head of Department

  • Dr. Rakesh Shakya - Senior Consultant and HOD

Consultants

  • Dr. Navjot Singh Ahuwalia
  • Dr. Dhananjay Giri
  • Dr. Sharad Dogney

Senior Residents

  • Dr. Ashay R. Dangare
  • Dr. Ram Kishan Janoriya
  • Dr. Anusuya Chauhan
  • Dr. Deepa Raidas
  • Dr. Kishore Paul

Services

Diagnostic Procedures:

  • IOP measurement using Goldman or perkins
  • Pachymetry
  • Humphrey Visual Field Analysis
  • Fundus Photography
  • Optical Coherence Tomography
  • UBM
  • Frequency Doubling Technology (FDT) perimeter

Surgical Services

  • Laser Iredectomy, Iridotomy
  • Laser Suturolysis
  • Laser Vitriolysis
  • Laser Hyaloidotomy
  • Cyclocryotherapy
  • Diode laser Cyclophotocoagulation (DLCPC)
  • Trabeculectomy
  • Combined Trabeculectomy
  • Bleb Needling
  • Bleb Revision
  • Glaucoma drainage Device

Statistics/Service Delivery

Courses Offered

Glaucoma is the most dreaded silent thief of the vision- and management of the disease requires equal rigor and dedication to gain expertise on. Sadguru Netra Chikitsalaya aims to target the Ophthalmologists who have recently completed residency through intensive training to impart skills in the recent advances in the diagnosis and treatment of glaucoma.

  • Short-term Training in Diagnosis and Management of Glaucoma

Team Biography

Dr. Rakesh Shakya

Head of Department, Department of Glaucoma Services

Dr. Rakesh Shakya is the Head of the Dept, Glaucoma. He joined the department as the Consultant after his Fellowship in Comprehensive Ophthalmology from Sadguru Netra Chikitsalaya. Since then, he has been one of the principal surgeons of the hospital. He has performed phenomenal number of surgeries and has been profiled by our international partners. He has trained record number of surgeons and has performed live surgeries in various conferences.

Dr. Navjot Singh Ahluwalia

Consultant, Department of Glaucoma Services
Head of Academics

Dr. Navjot Singh Ahluwalia is consultant in Glaucoma Department in Sadguru Netra Chikitsalaya.He also heads the Post Graduate Academics of the hospital. Dr. Ahluwalia did MBBS from Jabalpur, Rani Durgavati Vishvavidyalaya and MS from APS University, Rewa. After his Comprehensive fellowship in Ophthalmology from Sadguru Netra Chikitsalaya, he underwent Long term Glaucoma Fellowship from AEH, Madurai.

Dr. Dhananjay Giri

Dr. Dhananjay is Consultant in the Department of Glaucoma services. He holds his MBBS from Calcutta University and MS from Calcutta National Medical College. He did his Fellowship in Comprehensive Ophthalmology from Sadguru Netra Chikitsalaya before joining the institute as the consultant. He is an active trainer for the fellows and residents of the department.

Dr. Sharad Dogney

Consultant, Department of Glaucoma Services

Dr. Sharad Dogney is consultant in Glaucoma Department in Sadguru Netra Chikitsalaya. He did MBBS and Diploma in Ophthalmology from Kasturaba Medical College, Manipal. After his Comprehensive fellowship in Ophthalmology from Sadguru Netra Chikitsalaya, with specialization in Glaucoma services, he joined here as the consultant.

Researches and Projects

  • Evaluation of Non adherence to ocular hypotensive medication in patients with Glaucoma in Central India
  • Relative Afferent Pupillary Defect as a screening method of Glaucoma: Camp based approach
  • Association of raised intraocular pressure and its correlation to the energy used with raised versus normal, IOP following Nd YAG Laser Posterior Capsulotomy.
  • Role of USG –B Scan in eye with mature cataract.
  • Effect of refractive status on peripapillary nerve fiber layer.
  • Short term changes in Intraocular pressure after phacoemulsification.

FAQs

Why Does Pressure Rise in the Eye to Cause Glaucoma?

Glaucoma usually occurs when pressure in your eye increases. This can happen when eye fluid isn't circulating normally in the front part of the eye.

Normally, this fluid, called aqueous humor, flows out of the eye through a mesh-like channel. If this channel becomes blocked, fluid builds up, causing glaucoma. The direct cause of this blockage is unknown, but doctors do know that it can be inherited, meaning it is passed from parents to children.

Less common causes of glaucoma include a blunt or chemical injury to the eye, severe eye infection, blockage of blood vessels in the eye, inflammatory conditions of the eye, and occasionally eye surgery to correct another condition. Glaucoma usually occurs in both eyes, but it may involve each eye to a different extent.

Who Gets Glaucoma?

Glaucoma most often occurs in adults over age 40, but it can also occur in young adults, children, and even infants. In African-Americans, glaucoma occurs more frequently and at an earlier age and with greater loss of vision.

You are at an increased risk of glaucoma if you:

  • Are of African-American, Irish, Russian, Japanese, Hispanic, Inuit, or Scandinavian descent.
  • Are over age 40.
  • Have a family history of glaucoma.
  • Have poor vision, especially field of vision.
  • Have diabetes.
  • Take certain steroid medications, such as prednisolone, for a long time.

How Is Glaucoma Diagnosed?

To diagnose glaucoma, an eye doctor will test your vision and examine your eyes through dilated pupils. The eye exam typically focuses on the optic nerve which has a particular appearance in glaucoma. In fact, photographs of the optic nerve can also be helpful to follow over time as the optic nerve appearance changes as glaucoma progresses. The doctor will also perform a procedure called tonometry to check for eye pressure and a visual field test, if necessary, to determine if there is loss of side vision. Glaucoma tests are painless and take very little time.

How Is Glaucoma Treated?

Glaucoma treatment may include prescription eye drops, laser surgery, or microsurgery.

Eye drops for glaucoma. These either reduce the formation of fluid in the front of the eye or increase its outflow. Side effects of glaucoma drops may include allergy, redness of the eyes, brief stinging, blurred vision, and irritated eyes. Some glaucoma drugs may affect the heart and lungs. Be sure to tell your doctor about any other medications you are currently taking or are allergic to.

Laser surgery for glaucoma. Laser surgery for glaucoma slightly increases the outflow of the fluid from the eye in open-angle glaucoma or eliminates fluid blockage in angle-closure glaucoma. Types of laser surgery for glaucoma include trabeculoplasty, in which a laser is used to pull open the trabecular meshwork drainage area; iridotomy, in which a tiny hole is made in the iris, allowing the fluid to flow more freely; and cyclophotocoagulation, in which a laser beam treats areas of the middle layer of the eye, reducing the production of fluid.

Microsurgery for glaucoma. In an operation called a trabeculectomy, a new channel is created to drain the fluid, thereby reducing intraocular pressure that causes glaucoma. Sometimes this form of glaucoma surgery fails and must be redone. For some patients, a glaucoma implant is the best option. Other complications of microsurgery for glaucoma include some temporary or permanent loss of vision, as well as bleeding or infection.

Open-angle glaucoma is most commonly treated with various combinations of eye drops, laser trabeculoplasty, and microsurgery. Traditionally, medications are used first, but there is increasing evidence that some people with glaucoma may respond better with early laser surgery or microsurgery.

Infant or congenital glaucoma -- meaning a child is born with it -- is primarily treated with surgery since the cause of the problem is a much distorted drainage system.

Talk to your eye doctor to find out which glaucoma treatment is right for you.

Can Glaucoma Be Prevented?

Glaucoma cannot be prevented, but if it is diagnosed and treated early, the disease can be controlled. Adopting an active lifestyle (as opposed to a sedentary one) is supposed to reduce the risk of glaucoma to some extent, but no definite data is available on the extent of risk reduction.

What is the Outlook for People with Glaucoma?

At this time, loss of vision caused by glaucoma is irreversible and cannot be restored. However, successfully lowering eye pressure can help prevent further visual loss from glaucoma. Most people with glaucoma do not go blind as long as they follow their treatment plan and have regular eye check-ups.

Glaucoma is a group of diseases that can damage your eye's optic nerve and result in vision loss and blindness. It is one of the leading causes of blindness in Australia, affecting approximately 3% of the population.

It is more common with advancing age, and in women. Nearly half of people with glaucoma do not even know they have the disease.

While there is no cure for glaucoma, the good news is that if diagnosed early, the disease can usually be controlled with ongoing treatment (eye drops, laser and surgery) and blindness can be prevented.

What are the Types of Glaucoma?

There are two main types of glaucoma:

Open-angle Glaucoma. Also called wide-angle glaucoma, this is the most common type of glaucoma. The structures of the eye appear normal, but fluid in the eye does not flow properly through the drain of the eye, called the trabecular meshwork.

Angle-closure Glaucoma. Also called acute or chronic angle-closure or narrow-angle glaucoma, this type of glaucoma is less common but can cause a sudden buildup of pressure in the eye. Drainage may be poor because the angle between the iris and the cornea (where a drainage channel for the eye is located) is too narrow.

What are the symptons of Glaucoma?

For most people, there are usually few or no symptoms of glaucoma. The first sign of glaucoma is often the loss of peripheral or side vision, which can go unnoticed until late in the disease. Detecting glaucoma early is one reason you should have a complete check-up with an eye specialist every one to two years. Occasionally, intraocular pressure can rise to severe levels. In these cases, sudden eye pain, headache, blurred vision, or the appearance of halos around lights may occur.

If you have any of the following symptoms, seek immediate medical care:

  • Seeing halos around lights
  • Vision loss
  • Redness in the eye
  • Eye that looks hazy (particularly in infants)
  • Nausea or vomiting
  • Pain in the eye
  • Narrowing of vision (tunnel vision)