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Sankara Nethralaya
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Sri N Sivakumar (Academic Officer)
academic@snmail.org
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Shri Bhagwan Mahavir Vitreoretinal Services
Last Updated: May 2016
"Shri Bhagwan Mahavir vitreoretinal services" is one of the largest, busiest and best-equipped retina units in South East Asia . It is known in India and neighbouring countries for its world class and state of the art eye care for patients with complicated vitreo-retinal problems. The vitreoretinal department is currently functioning in Chennai and Kolkatta with a task force constituting of 24 consultants headed by Dr. Tarun Sharma. On an average, 1.5 lakh patient’s with various vitreoretinal disorder’s are seen in the out patient services and 5500 vitreoretinal surgeries are being performed.
The facilities available are:
Digital fundus photography including Topcon and 3nethra(Forus) – non mydriatic digital fundus camera
Fundus fluorescein angiography (FF450 IRplus ),wide field angiography(Spectralis)
Indocyanine green angiography (ICG)
Laser photocoagulation (green, Diode, PASCAL)
Transpupillary thermo therapy (TTT)
Photodynamic therapy (PDT)
Electroretinogram (ERG), Multifocal ERG, Electrooculogram (EOG),VEP, Multifocal VEP,Sweep VEP
Ultrasonography /ultrasound biomicroscopy (UBM)
Optical coherence tomography (OCT) - Cirrus OCT 4000 (Carl Zeiss) , 3D OCT 1000 (Topcon), Spectralis (Heidelberg Engineering), Swept Source OCT (Topcon), Optos OCT SLO , Hand held OCT(Bioptigen invivo view version 2.22)

Microperimetry

Portable doppler (Nidek) for A & B scan & pachymetry
Vitreous fluorometer
Macular pigment densitometer
Ret cam
Video slit lamp biomicroscopy

Six fully equipped operation theaters are dedicated exclusively for vitreo-retinal surgeries and on an average 500 retinal surgeries, both simple and complicated, are performed every month. Apart from patient care, Shri Bhagwan Mahavir vitreoretinal services is also actively involved in teaching, training and research.

Till date over 400 papers are published in peer-reviewed National & International journals.

Books published:
1) FFA Atlas
2) Ultrasound Atlas
3) Atlas of retinal diseases
Types Of Fellowship
The department offers following fellowship programs…
Medical retina fellowship (Basic course) 1 month
Medical retina fellowship (Advanced course) 12 months
Medical retina and Uvea combined fellowship 18 month
Clinical vitreoretina fellowship 24 months
Reseach-cum-Clinical vitreoretina fellowship 30 months
Till date around 429 candidates have been trained in these various fellowship programs.
Medical retina fellowship (Basic course)

Duration:1 month

Number of trainees: 6 per year(one every alternate month)

Features:

  • Mastering the skills of using slit lamp biomicroscopy which includes use of contact and noncontact fundus lenses.
  • Mastering the skills of using indirect ophthalmoscopy.
  • Exposure to medical retina cases under retina specialist.
  • Interpretation of fundus fluorescein angiography (FFA), Indocyanine green angiography (ICG), Optical coherence tomography (OCT), ultrasonography (USG) and electrodiagnostic modalities.
  • Hands on experience in performing FFA, ICG, OCT and USG.
  • To observe laser photocoagulation being done by retina specialist for various posterior segment diseases.
Medical retina fellowship (Advanced course)

Duration:1 year

Number of trainees: 4 per year(two every 6months)

Features:

  • Mastering the skills of using slit lamp biomicroscopy which includes use of contact and noncontact fundus lenses.
  • Mastering the skills of using indirect ophthalmoscopy.
  • Diagnosis of various medical and surgical retina conditions under supervision of retina specialist.
  • Interpretation of fundus fluorescein angiography (FFA), Indocyanine green angiography (ICG), Optical coherence tomography (OCT), ultrasonography (USG) and electrodiagnostic modalities.
  • Hands on experience in performing FFA, ICG,OCT, USG and electrodiagnostic modalities.
  • Visiting NICU with retina specialist to screen babies for retinopathy of prematurity.
  • Hands on experience in performing laser photocoagulation for various posterior segment diseases.
  • Hands on experience in delivering intravitreal injections for various posterior segment pathologies.
  • Familiarize with the art of prescribing low visual aids.
Medical retina and Uvea combined fellowship

Duration:1year and 6 months

Number of trainees: 4 per year(two every 6months)

Features:

  • Mastering the skills of using slit lamp biomicroscopy which includes use of contact and noncontact fundus lenses.
  • Mastering the skills of using indirect ophthalmoscopy
  • Diagnosis of various medical and surgical retina conditions under supervision of retina specialist.
  • Diagnosis of uveitis under supervision of uvea specialist.
  • Interpretation of fundus fluorescein angiography(FFA), Indocyanine green angiography(ICG), Optical coherence tomography (OCT), ultrasonography(USG) and electrodiagnostic modalities.
  • Hands on experience in performing FFA, ICG,OCT, USG and electrodiagnostic modalities.
  • Visiting NICU with retina specialist to screen babies for retinopathy of prematurity.
  • Hands on experience in performing laser photocoagulation for various posterior segment diseases.
  • Hands on experience in delivering intravitreal injections for various posterior segment pathologies.
  • Hands on experience in performing cataract surgery during the first year.
  • Familiarize with the art of prescribing low visual aids.
Clinical vitreoretina fellowship

Duration: 2 years

Number of trainees: 4 per year(two every 6months)

Features:

  • Mastering the skills of using slit lamp biomicroscopy which includes use of contact and noncontact fundus lenses.
  • Mastering the skills of using indirect ophthalmoscopy
  • Diagnosis of various medical and surgical retina conditions under supervision of retina specialist.
  • Diagnosis of uveitis under supervision of uvea specialist.
  • Interpretation of fundus fluorescein angiography(FFA), Indocyanine green angiography(ICG), Optical coherence tomography(OCT), ultrasonography(USG) and electrodiagnostic modalities.
  • Hands on experience in performing FFA, ICG,OCT, USG and electrodiagnostic modalities.
  • Visiting NICU with retina specialist to screen babies for retinopathy of prematurity.
  • Hands on experience in performing laser photocoagulation for various posterior segment diseases.
  • Hands on experience in delivering intravitreal injections for various posterior segment pathologies.
  • Hands on experience in performing sclera buckling techniques under the supervision of vitreoretinal surgeons.
  • Hands on experience in performing Pars planavitrectomies (20G,23G,25G) under the supervision of vitreoretinal surgeons.
  • Taking part in research activities and presentations in conferences.
  • Familiarize with the art of prescribing low visual aids.
  • Familiarize with genetic screening and counseling.
Reseach-cum- Clinical vitreoretina fellowship

Duration: 2 years and 6 months

Number of trainees: 4 per year(two every 6months)

Features:

  • Dedicated 6 months for exclusive training in research methodologies and statistics.
  • To learn the art of writing research publications.
  • To learn the art of writing research proposal for grant.
  • To work with basic scientist.
  • To be an active participant in the ongoing studies in SankaraNethralaya.
  • To conduct clinical auditing.
  • Insight into conducting clinical studies.
  • Presentations in conferences.
  • Mastering the skills of using slit lamp biomicroscopy which includes use of contact and noncontact fundus lenses.
  • Mastering the skills of using indirect ophthalmoscopy
  • Diagnosis of various medical and surgical retina conditions under supervision of retina specialist.
  • Diagnosis of uveitis under supervision of uvea specialist.
  • Interpretation of fundus fluorescein angiography(FFA), Indocyanine green angiography(ICG), Optical coherence tomography(OCT), ultrasonography(USG) and electrodiagnostic modalities.
  • Hands on experience in performing FFA, ICG, OCT USG and electrodiagnostic modalities.
  • Visiting NICU with retina specialist to screen babies for retinopathy of prematurity.
  • Hands on experience in performing laser photocoagulation for various posterior segment diseases.
  • Hands on experience in delivering intravitreal injections for various posterior segment pathologies.
  • Hands on experience in performing sclera buckling techniques under the supervision of vitreoretinal surgeons.
  • Hands on experience in performing Pars plana vitrectomies (20G,23G,25G) under the supervision of vitreoretinal surgeons.
  • Familiarize with the art of prescribing low visual aids.
  • Familiarize with genetic screening and counseling.
Selection / Eligibility
The selection examination is held once a year in the month of august. Selection is done for 2 sessions (October and next April). Advertisements appear in the hospital website, in house magazines. Written examination is in the form of multiple choice questions. Candidates clearing the written examination will appear for the viva, conducted by two examiners. List of selected candidates would be displayed on the hospital notice board by the same evening. Candidates with postgraduate degree in ophthalmology can apply for the fellowship. Institutional candidates will be given preference. Qualified candidates employed elsewhere should produce a NO OBJECTION CERTIFICATE from the employer at the time of the examination.
Lions Diabetic Retinopathy Skill transfer training program(SF 1634/ 324 – A8)

Duration: 2months

Number of trainees: 2 every 2 months(24 candidates in 2 years)

Training program objectives

  • A dedicated diabetic Retinopathy management program for Lion’s hospital’s and Lion’s affiliated hospital consultants
  • To create knowledge pool about diabetes and diabetic retinopathy in the country
  • To make a diagnosis of Sight -threatening Vs Non Sight-threatening DR
  • To interpret ancillary investigations such as FFA, OCT and USG
  • To learn the indications of laser photocoagulation and intravitreal injections
  • To understand the nuances of the procedure of laser photocoagulation and intravitreal injections.
  • To identify the cases needing surgical intervention, however vitreoretinal surgical intervention is not a part of this training program
  • To get to know “How to build a team with networking of physician’s, Local Lions and ophthalmologist’s.
Please click here to download Application Form