CJ Shah Cornea Services of Sankara Nethralaya caters to large number of patients with diverse corneal and external diseases from all over India.
The department is actively involved in the management of various corneal infections, aided by the department of Microbiology. A wide spectrum of corneal infections are seen in the cornea emergency department and many present in the advanced state with perforation. Such cases are taken up on an emergency basis for tectonic procedures or therapeutic penetrating keratoplasty.
C U Shah Eye Bank of Sankara Nethralaya is well established. The eye bank collects more than 1200 eyes every year and is equipped with eye bank specular microscope. More than 650 corneal transplant surgeries are preformed routinely every year. Main indications for keratoplasty include aphakic and pseudophakic bullous keratopathy, corneal opacity secondary to infection or trauma and corneal dystrophies. Lamellar keratoplasties like deep anterior lamellar keratoplasty and deep lamellar endothelial keratoplasty are routinely being performed.
Ocular surface disorders are a common referral to the cornea services. Our Ocular Surface Diseases Clinic offers comprehensive care to these patients. Proper evaluation of the patient including various staining techniques and rational treatment approach is practiced. Procedures like punctal occlusion, surface reconstruction with limbal autograft and allograft, amniotic membrane transplantations are regularly performed. In the end stage ocular surface disorders, the only option left is a keratoprosthesis. This is also one of the centres in Asia for Boston Keratoprosthesis. The department is doing Osteo-Odonto Keratoprosthesis for such patients. Prof. G. Falcinellei of Italy, who is the pioneer in this field, is actively collaborating with the department.
The department is also actively involved in the management of ocular surface neoplasms, aided by the department of Pathology and the department of Oculoplasty. A large number of keratoconus patients are seen and Collagen Cross Linking performed.
There is a designated refractive surgery suite and meticulous pre-refractive surgery evaluation if performed here. Facilities include microkeratome LASIK, Femto-second LASIK, epi-LASIK, Photorefractive keratectomy and ICL. The department is equipped with Allegretto excimer laser system. It also has corneal topography – TMS 4, non-contact specular microscope – Konan, Wavefront aberrometer and an ultrasonic pachymeter. 20 to 25 refractive surgical procedures are performed every week.