Department of Orbit and Oculoplasty - SNC Chitrakoot

Introduction

Orbit, Oculoplasty and Oncology, a distinct subspecialty handles anomalies of lids, lacrimal system, extra ocular structures, bony orbit and other ocular adnexa. The department at SNC focuses on evaluation, diagnosis and management of orbital and adnexal disorders. The Oculoplasty Department of SNC is renowned for performing complex cosmetic corrective surgeries.

The Department runs an exclusive OPD and a well-equipped Operation Theatre with support from microbiology, pathology and radiology departments. It offers a range of services including symblepheron, entropion, ectropion, ptosis, and small lid mass, lid injuries, chronic dacryostinosis, sac fistulas and orbital diseases which are treated both medically and surgically. The Department envisions adding advanced treatment for orbital problems and lid neoplasm.

Team

Head of Department

  • Dr. Ram Kishore Shandilya

Consultants

  • Dr. Animesh Sahu
  • Dr. Narendra Patidar

Senior Residents

  • Dr. S. Anandprada
  • Dr. Anjana Sharma

Services

Diagnostic Procedures

  • Diagnosis and Medical treatment of eyelid, orbit and Lacrimal Diseases
  • Injection BOTOX therapy for abnormal facial movements (Hemi facial spasm, essential blepharospasm etc)
  • Treatment of Thyroid eye diseases
  • Treatment of eye exposure after facial palsy (both medical and surgical)
  • Management of congenital dacryocystitis

Surgical Services

Commonly done oculoplasty surgical procedures are:

  • Ptosis(congenital and acquired)
  • Entropion, Ectropion, Trichiasis, Distichiasis
  • Dacryocystorhinostomy, Lid reconstruction cosmetic & aesthetic surgeries
  • Conjunctival Dacryocystorhinostomy with Jones' tube
  • Punctoplasty
  • Enucleation with motility implant
  • Cosmetic evisceration with implant
  • Orbital exenteration with eyelid sparing
  • Socket reconstruction
  • Ocular prosthesis [artificial shell]

Statistics/Service Delivery

Courses Offered

The Oculoplasty and Orbital Surgery Fellowship at is an 18 month specialty fellowship in Comprehensive  ophthalmology. This unique program gives the fellow opportunity to train in the entire spectrum of oculofacial disorders. During the course of the fellowship, fellow becomes accomplished in the diagnostic evaluation and medical and surgical treatment of eyelid disorders, lacrimal procedures, orbital disease and periocular conditions. Training includes clinical, surgical, and educational and research activities.

  • Long-term Fellowship in Ophthalmology with specialization in Orbit an Oculoplasty

Team Biography

Dr. Ram Kishore Shandilya

Dr. Ram Kishore Shandilya is Head of the Department of Orbit & Oculoplasty.

He did his MBBS from Rani Durgavati Vishwavidyalaya, Jabalapur and his MS from Jiwaji University Gwalior. After fellowship in Comprehensive Ophthalmology specializing in Orbit & Oculoplasty, he joined Sadguru Netra Chikitsalaya as a consultant.

He is a skillful surgeon and having hands on experience in SICS and Phacoemulsification. As he became Head of the Department, he is involved in subspecialty training and research programs. A highly expert surgeon, his area of interest is cataract, Reconstructive and cosmetic surgery.

Dr. Animesh Sahu

Dr. Animesh is Consultant in Orbit and Oculoplasty department. He did his M.B.B.S from B.J.M.C college Pune and M.S from G.M.C Bhopal. He did his Comprehensive Ophthalmology fellowship from Sadguru Netra Chikitsalaya and received training in oculoplasty and cataract surgeries. He worked as a consultant in Sankar Nethralaya Chennai for two years. He joined back to Sadguru Netra Chikitsalaya Chitrakoot in 2016 as a consultant and is providing his services to Orbit and Oculoplasty as well as in cataract /IOL department.

Dr. Narendra Patidar

Dr. Narendra is Consultant in Orbit and Oculoplasty department.

He did his M.B.B.S. from NSCB Medical college Jabalpur and D.O.M.S. from MGM Medical College, Indore. He has completed his Comprehensive Ophthalmology fellowship with specialization in Orbit and Oculoplasty from Sadguru Netra Chikitsalaya. His special interest lies in the area of Aesthetic Oculoplasy.

FAQs

What should I expect at my initial consultation?

Prior to any surgical or non-surgical procedure, we will carefully review your concerns as well as your other medical conditions and all your medications. Once we arrive at the appropriate intervention the procedure will be discussed and all your questions will be answered.

What should I expect on the day of surgery?

You will asked to arrive between one to two hours prior to surgery for the nursing staff to greet and prepare you for the operating room. Normally you will be called the day before to confirm the time of arrival. The staff will review your medical history and medications. The anesthesiologist will also meet with to review the anesthesia plan and to answer any questions you may have. Finally, the surgical team will greet you in the preoperative holding area to confirm the surgical plan, answer any questions and the mark the surgical site.

Immediately after your surgery, you will recover in the post-operative area of the surgical center. You may have a cold compresses and ointment in your eyes so don’t be alarmed that your vision is blurred or obscured. While you recover a nurse and recovery team will be available at all times. Once you are fully recovered you will be able to have something to light to drink and eat.

Please have bags of frozen peas or cold compresses at home ready for use. And please review the pre-operative instructions that have more specific details (link).

Final note to smokers: please reduce or stop smoking 2-3 weeks before and after surgery to allow accelerate healing, reduce risk of infections, and improve your surgical outcomes.

What should I expect during the post-operative period?

For a few days your vision may be blurry due to the ointment that is used on your eyes, as well as normal post-operative swelling. Have someone reliable assist you the night after surgery.

Recovery is usually well tolerated by most patients. Pain is normally mild to moderate and can be controlled with over the counter pain medications or stronger prescription strength medications.

Remember to use ice packs for the first 2-3 days after surgery as this reduced swelling and helps with any pain. And please review the post-operative instructions that have more specific details (link).

What are the risks and complications of Oculoplasty surgery?

As with any surgical procedure, there are potential risks and complications that may occur despite the best circumstances and efforts. Patients have the right and responsibility to be completely informed about the procedure including the specific benefits, risks, and alternatives. These will be reviewed with you and ultimately you will decide if the benefits of the procedure outweigh the risks and complications.

Pain, excessive bleeding, infection, and failure to improve the function and appearance of the eyelids and eye are all rare but will be detailed during your consultation.

Will my insurance cover my surgery?

Not all conditions or concerns are covered by insurance plans. After your consultation additional testing may be required to document the medical necessity of the condition prior to insurance covering the cost of the procedure. Should this be deemed an aesthetic or cosmetic concern, we can discuss that with you and present alternatives.