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Sankara Nethralaya
Sankara Nethralaya
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Specialities

Uveitis

Brief History

The Uvea department examines an average of 3000 cases per year of which more than 1000 are new cases. It is noteworthy to mention that Sankara Nethralaya’s uvea department is the primary referral center for uveitis patients in India and neighboring countries. This department is actively involved in research and is credited withthe largest number of peer reviewed publications in Sankara Nethralaya.

Uveal tract is the vascular middle coat of the eye ball. Inflammation of the uveal tract is called uveitis. Uveitis, usually occurs if there is associated systemic disease in the patient either an autoimmune disease or an infectious disease, hence the specialists at the Uveitis department treat their patients in close coordination with other specialists in medicine such as rheumatologists, chest physicians, infectious disease specialists, internists etc. The department is headed by Dr. Jyotirmay Biswas, a pioneer in this field who is ably assisted by 8 consultants well trained in this specialty

Medical management of patients with uveitis involves continuous monitoring/control of their ocular inflammation which may require systemic treatment with drugs such as steroids and immuno-suppressives. It also needs close monitoring of the systemic disease in conjunction with the concerned specialists.

Ophthalmic issues the dept. addresses

Management of uveitis in patients with complicated cataract and performing specialized cataract removal surgery on them is an exclusive specialty of this department. Patients suffering from uveitis with glaucoma, uveitis with vitreoretinal complications are handled in close coordination with consultants from the respective fields. Such specialized and compassionate care of patients with this chronic disease is dispensed by the following faculty; the uveitis department at Sankara Nethralaya is probably the largest and the most experienced department of its kind in Asia. The department also takes care of patients with scleritis, retinal vasculitis and patients with HIV/AIDS.

Facilities

Sankara Nethralaya’s uveitis department is well supported by a state of the art laboratory, pathology, microbiology, molecular biology, biochemistry and genetics departments. The institute also has facilities for ancillary tests like wide-field fluorescein angiography, ultrasonography, ultrasound biomicroscopy and spectral domain and swept source optical coherence tomography.Apart from patients with uveitis.

State of the art facility to diagnose and treat various uveitic disorders

Facilities for Intraocular biopsy

The department has facilities to perform complicated cataract and complex vitreo-retinal surgery that may be needed for some patients with uveitis.

The Department is experienced in handling complicated and refractory cases where immunosuppressive drugs are given under intensive monitoring

Major Conferences/Seminars

Uvea department of SankaraNetharalya had organized the International Uveitis Study Group Meeting (IUSG) in February 2000 at Chennai. Experts in the field of Uveitis from India and 14 other countries participated in this most prestigious meet to discuss the latest approaches in the diagnosis of Uveitis. The IUSG meeting is conducted annually to provide guidelines for the classification, diagnosis and treatment of Uveitis entities and this was the first time that the IUSG meeting was held in India.

There have been multiple CME programmes and national conferenceson uveitis organized by SankaraNethralaya in Chennai and around. Consultants from its Uvea department have also been part of many conferences as main speakers/faculty.

Training and courses offered

Fellowship programme

The Department of uveitis offers an 18-month fellowship programmewhich encompasses a basic training in other specialties’ in general ophthalmology including cataracts and complete training in the management of patients with uveitis. There is also a 18 month Medical retina and Uveitis Fellowship programme which trains the candidate in the basic management of medical retina and uveitic disorders.

Research activities

The Department has done pioneering research work in the field of ocular complications due to AIDS and has authored more than 20 articles in peer reviewed journals on ocular lesions in patients with HIV/AIDS including a comprehensive book on "Ocular Lesions in AIDS - Practical guidelines in diagnosis and management".

Papers/Publications for last 10 years

The Uvea department has published more than 250 articles in National and International peer reviewed ophthalmic Journals.Specialists in the department have been a key part of many renowned multicenter drug trials. They have authored in-depth and authoritative works on the subject and co-authored chapters related to uveitis and Ocular Pathology in books of ophthalmology authored by others.The Department has authored a prestigious work - “Sankara Nethralaya Atlas of Uveitis & scleritis” – which has been a resounding success and is the most sought after atlas by both postgraduates and practicing ophthalmologists.The department has published two books on patient education in easy to understand language with simple illustrations. The department has also prepared many handouts and patient education monographs for better understanding of these diseases

Intraocular parasitic infections. OculImmunolInflamm. 2011 Oct;19(5):327-36. Rathinam SR, Annamalai R, Biswas J.

Extensive herpes zoster involvement following mycophenolatemofetil therapy for sarcoidosis. J Ophthalmic Inflamm Infect. 2011 Sep 25. Hegde S, Annamalai R, Biswas J.

Bilateral Ocular MyiasisInterna Caused by Botfly (Oestrusovis): A Case Report. OculImmunol Inflamm.2011 Dec;19 (6):444-7. Parikh V, Biswas J, Vaijayanthi K, Das D, Raval V.

An unusual intraocular tongue worm in anterior chamber: a case report. OculImmunolInflamm. 2011 Dec;19 (6):442-3. Saumya Pal S, Bhargava M, Kumar A, Mahajan N, Das S, Nandi K, Guha S, Raman M, Jeyathilakan N, Biswas J.

Cataract surgery in Uveitis.Rupesh A, Somashiela M, Sudha K G, Chee Soon P, Virender S, J Biswas. International Journal of Inflammation, ID: 548453 16-28 Feb-2012

As is our Pathology, so is our practice. J Biswas . Middle East Afr Journal of Ophthalmology (4): 259-60 Feb-2012

Biopsy pathology in uveitis. J.Biswas, Annamalai R, Krishnaraj V. Middle East Afr Journal of Ophthalmology (4): 261-67 Feb-2012

Serpiginouschoroiditis: Agrawal Alok, Biswas Jyotirmay, WaduthantriSamanthila..APBN magazine, February, 2012

Utility of QuantiFERON-TB Gold test in diagnosis and management of suspected tubercular uveitis in India – International Ophthalmology 2012 DOI 10.1007/s10792-012-9554-0. Sudharshan S, Sudha K G, Balu B, Mahalakshmi, Lily K Therese, H N Madhavan, Biswas J

Clinicopathological correlation of choroidal melanoma in Indian population: A study of 113 cases – Oman Journal Ophthalmology, 2012 Jan;5(1):42-5. Dhupper M, Biswas J, Kumar SK, Khetan V

Multiple live subconjunctivaldipetalonema: Report of a case – IJO 2012 May;60(3):228-9. John M, Mathew SM, Sebastian V, Biswas J, Raman M.

Systemic associations of anterior uveitis in a tertiarycare ophthalmic centre in south India. Int.Ophthalmology May 19 2012. Mathur G, Biswas J

A case of subconjunctivaldirofilariasis in South India. J Ophthalmic Inflamm Infect. May 11 2012. Bharathi S, Sofia O, Raman M, Biswas J.

Nested PCR – positive tubercular ampiginouschoroiditis: A case of report - OculImmunolInflamm. May.23.2012. Bhuibhar SS, Biswas J.

Degenerated intravitrealcysticercuscyst masquerading as endogenous endophthalmitis. Mulla MA, Banker AS, Rishi E, Biswas J – OculImmunolInflamm. 2012 Jul 13

Ophthalmic contributions of Raja Serfoji II (1798-1832). Biswas J, Badrinath V, Badrinath SS, Indian Journal of Ophthalmology 2012 Jul-4):297-300

Tubercular Sclerouveitis masquerading as an ocular tumor: A case report. Damodaran K, George AE, Goel S, Khetan V, Noronha V, Biswas J - OculImmunolInflamm 2012

An ophthalmologist survey-based study of the atypical presentation and current treatment practices of ocular toxoplasmosis in India. Basu S, Biswas J, Pleyer U, Pathangay A, ManoharBabu B – Parasit Dis.2012 Oct;35(2):148-54

Utility of QuantiFERON- TB Gold test in diagnosis and management of suspected tubercular Uveitis is India. S. Sudharshan, Sudha. K. G, G. Balu, B. Mahalakshmi, L K Therese, H. N. Madhavan, J Biswas. International Ophtahlmology 2012 32:217-223

Recent advances in laboratory investigations. Sudharshan S, Biswas J, P D Majumder. Indian Journal of Ophthalmology -2012

Eales’ disease – current concepts in diagnosis and management. Biswas J, Reesha KR, Angyarkanni N, Lily TK, Madhavan HN – Journal of Ophthalmic Inflammation and Infection. 3:11,2013

Eales’s disease – current concepts in diagnosis and management. Biswas J, Ravi RK, Narayanasamy A, Lily TK, Madhavan HN – Journal of Ophthalmic Inflammation and Infection Jan 2013, 3:11

Ocular lesions in 1,000 consective HIV – positive patients in India: along term study. Sudharshan S, Kaleemunisha S, Ashraf Banu A, Shrikrishna S, Amala EG, Babu BR, Devaleenal B, Kumarasamy N, Biswas J - Journal of Ophthalmic inflammation and infection 2013, 3:2

Serpiginouschoroiditis and acute retinal necrosis occurring in the same patient. Gupta A, Biswas J – Indian Journal of Ophthalmology 2013

Indocyanine green angiography in posterior uveitis. Agrawal R V, Biswas J, Gunasekaran D – Indian Journal of Ophthalmology 2013. Apr. 61(4):148-59.

Eales' disease - current concepts in diagnosis and management. Biswas J, Reesha K R, Angayarkanni N, Therese KL, Madhavan HN - Journal of Ophthalmic Inflammation and Infection 2013, 3:11

Peripheral choroidal nodules in a case of proven systemic sarcoidosis.Suryaprakash V, Kanungo S, Biswas J - Indian J Ophthalmol. 2013 Jun;61(6):291-292

Laboratory support in the diagnosis of uveitis.Majumder PD, Sudharshan S, Biswas J - Indian J Ophthalmol. 2013 Jun;61(6):269-276

Eales' disease - current concepts in diagnosis and management. Biswas J, Ravi RK, Angayarkanni N, Lilytherese K, Madhavan HN - J OpthalmicInflamm. Infect. 2013, 3:11

Coexistent miliary tuberculosis of choroid and tubercular panuveitis: A report. Sengupta S, Tomar VP, Biswas J - Indian J Ophthalmol. Sep 62013

Reverse masquerade syndrome: Fungal adnexal infection mimicking carcinoma in a HIV-positive patient.Mukherjee B, Chatterjee R, Biswas J - Indian J Ophthalmol. 2013 Sep;61(9):521-523

Sympathetic ophthalmia with sensorineural deafness - report of a case.Venkatesh R, Agarwal M, Ramesh VJ, Singh S, Kantha M, Biswas J - J Ophthalmic Inflamm Infect. 2013 Nov 13;3(1):65

Acute Retinal Necrosis: Clinical features and treatment outcomes. Rupak R, Chetan R, Bikramjeet P, Debmalya D, Biswas J – Ocular immunology and inflammation Dec 2013

All that glitters are not flecks: Inflammatory ChoroidalNeovascularisation in Fundus flavimaculatus. Rupak R, Pradeep K P, Debmalya D, Aneesha Lobo - Ocular immunology and inflammation Dec 2013

Probable Vogt – Koyanagi – Harada disease: A case report and Review of Literature. Abhishek V, Biswas J-2014

SerpiginousChoroiditis in a referral clinic in India: visual field changes and clinical correlates. Balarabe AH, Biswas J – OculImmunolInflamm. Apr.11 2014

Acute retinal necrosis: clinical features, management and outcomes – a 10 year consecutive case series. Roy R, Pal BP, Mathur G, Rao C, Das D, Biswas J - OculImmunolInflamm. Apr.16 2014

Quality of life in patient with immunosuppressive. Sudharsan S, Kalaimani S C, Biswas J- Middle East African Journal of Ophthalmology.

Postoperative necrotizing scleritis: a report of four cases. Sudipta D, Saurabh K, Biswas J – Middle East Journal of Ophthalmology 19th June 2014

Fundus autofluorescence imaging to document evolution, progression and healing pattern of serpiginouschoroiditis. Gupta A, Biswas J - Oman Journal of Ophthalmology. 2014 June 2014 Vol. 7, No.2

Rapidly blinding posterior tubercular uveitis. Agarwal M, Jha V, Biswas J - J Ophthalmic Inflamm Infect. 2014 Jun-31: 9;4:13.doi: 10.1186/1869-5760-4-13

Real time Polymerase chain reaction (RT-PCR) for Mycobacterium tuberculosis in serpiginouschoroiditis- A study of 29 Cases. RadhaAnnamalai, Biswas J, Sudharshan S, Gayathri R, Lily T, Viswanathan S, Bhuvaneswari N - International Journal of Medical Research Health Sciences 2014: 3(3).

Anterior Uveitis: Preferred practice patterns. Sudha K Ganesh – Tamil Nadu Ophthalmic Association 2014

Comment on Vitrectomy for Floaters: Prospective efficacy analysis and retrospective safety profile. Kumar S, Rupak R – Retina July 2014. Postoperative necrotizing scleritis: A report of four cases. Sudipta D, Kumar S, Biswas J - Middle East African Journal of Ophthalmology July 2014

Systemic lupus erythematosus retinopathy in a 32-year-old female: Report of a case. Deepak B, Ekta R, Parthopratim D M, Kumar S, Pujkraj R – Indian Journal of Ophthalmology – November2014

Postoperative necrotizing scleritis: A report of four cases Sudipta D, Kumar S, Jyotirmay B - Middle East African Journal Of Ophthalmology October 2014

Quality of life in non-infectious uveitis patients on immunosuppressive therapy. Kaleemunnisha S, Sudharshan S, Biswas J. Middle East Afr J Ophthalmol. 2014 Jul;21(3) . doi: 10.4103/0974-9233.134675. PubMed PMID: 25100906

Unilateral Punctate inner choroidopathy with choroidalneovascular membrane in a young male. Biswas J, Raman R, Bhojwani D - Indian J Ophthalmol. 2014 Sep;62(9):949-50

Pattern of paediiatric uveitis seen at tertiary referral centre from India. Sudha K G, Aparna, Arshee, Biswas J, Kempen – Journal of Ocular Immunology & Inflammation – 2015

Bilateral acute ophthalmic artery occlusion in a case of giant cell arteritis. Rupak R, Kumar S, Debmalya D - Indian Journal of Medical Research 23rd Dec-2014

Nodular scleritis as the eye manifestation in Behcet’s syndrome. Damodaran K, Majumder PD, Biswas J – Oman Journal of Ophthalmology 2015 April; 8(1): 54- 5

Biologicals in the treatment of Noninfectious Uveitis. Parthopratim DM, Biswas J – H V Nema Chapter 7, pg 101 -112, Volume 12 March 2015.

Localisation of human copper transporter 1 in eye & its role in Eales’ disease.Gomathy N, Saravanan RBharathselvi, Biswas, Sulochana KN - Ocular Immunology and Inflammation. 07-Jul-2015

Posterior Scleritis: Analysis of Epidemiology, Clinical Factors, and Risk of Recurrence in a Cohort of 114 Patients.Lavric A, Gonzalez-Lopez JJ, Majumder PD, Bansal N, Biswas J, Pavesio C, Agrawal R - OculImmunolInflamm. 2015 Jul 2:1-10

Pattern of paediatric uveitis seen at tertiary referral centre from India. Sudha K G, Aparna, Arshee, Dr. Biswas J, Kempen - Journal of Ocular Immunology and Inflammation

Optic nerve head granuloma as a primary manifestation of ocular sarcoidosis. Sudha K G, Dr. Anushree V K - Oman Journal Ophthalmology

Posterior Scleritis: Analysis of Epidemiology, Clinical Factors, and Risk of Recurrence in a Cohort of 114 Patients. Lavric A, Gonzalez-Lopez JJ, Majumder PD, Bansal N, Biswas J, Pavesio C, Agrawal R - OculImmunolInflamm. 2015 Jul 2:1-10

Pattern of pediatric uveitis seen at tertiary referral centre from India. Sudha K G, Aparna, Arshee, Biswas J, Kempen – Journal of Ocular Immunology and Inflammation. 2015, 1-8

Optic nerve head granuloma as a primary manifestation of ocular sarcoidosis. Sudha K G, Anushree V K – Oman Journal of Ophthalmology. 2015; 8: 157-61

Real-time and nested polymerase chain reaction in the diagnosis of multifocal serpiginoidchoroiditis caused by Mycobacterium tuberculosis - a case report. Shetty SB, Biswas J, MuraliS - Journal of Ophthalmic Inflamm Infect. 2015 Dec;4(1):29

Detection of Mycobacterium tuberculosis with nested polymerase chain reaction analysis in enucleated eye ball in Eales' disease. Verma A, Biswas J, Dhanurekha L, Gayathri R, Lily Therese K - IntOphthalmol. 2015 Oct 24

Book Published: Uveitis: An Update. Biswas J, Parthopratim Dutta Majumder - Springer, 2015

Syphilitic uveitis as the presenting feature of HIV. Rishi E, Govindarajan MV, Biswas J, Agarwal M, Sudharshan S, Rishi P - Indian J Ophthalmol. 2016(2):149-50. doi: 10.4103/0301-4738.179714

Candida albicans scleral abscess in a HIV-positive patient and its successful resolution with antifungal therapy-a first case report. Sharma H, Sudharshan S, Therese L, Agarwal M, Biswas J – Journal of Ophthalmic Inflamm Infect. 2016 16. doi: 10.1186/s12348-016-0083-2. Epub 2016 May 20

Candida albicansscleritis in HIV patent – case report. Sharma H, Agarwal M, Biswas J - Journal of Ophthalmic Inflammation and Infection April 2016: 6(1)

Sphyilitic uveitis as presenting feature of HIV. Rishi E, Agarwal M – Indian Journal of Ophthalmology 2016:62(2) 149-50

Essentials for ophthalmology postgraduates. Book – Academic & Research Committer AIOS April 2016 - P M Dutta, Rupak R, Jay R

Book - Disorders of uvea and sclera. Biswas J, P M Dutta, Arjun, Padmamalini, Vishali, Bhawan - April 2016

Phacoemulsification with intraocular lens implantation in pediatric uveitis – A Retrospective study. Sudha K G, Saurabh M – Journal of Ocular Immunology and Inflammation 2016

A case of Acute Myeloid Leukemia masquerading as unilateral exudative detachment. Hitesh S, Parthopratim D M, Chetan R, J Biswas - American Journal of Ophthalmology Case Reports 4 (2016) 47e49

Culture and Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) Proven Mycobacterium Tuberculosis Endophthalmitis: A Case Series. Rishi E, Rishi P, Therese KL, Ramasubban G, Biswas J, Sharma T, Bhende P, Susvar P, Agarwal M, George AE, Dehliwala K, Sharma VR - OculImmunolInflamm. 2016 Sep 6:1-8.(

The 88 kDaEales' protein in serum is a complex of haptoglobin, complement C3 and galectin-1 as identified by liquid chromatography coupled mass spectrometry.Saravanan R, Bharathselvi M, Babu AC, Biswas J, Sulochana KN - Proteomics Clin Appl. OCT2016

Candida albicans scleral abscess in a HIV-positive patient and its successful resolution with antifungal therapy-a first case report.Sharma H, Sudharshan S, Therese L, Agarwal M, Biswas J. J Ophthalmic Inflamm Infect. 2016;6(1):24.

Clinical profile of patients with Necrotizingscleritis in a tertiary eye care centre in Southern India. Parthapratim DM, Ghose A, Meenakshi C,Sudha K G, Biswas J - Journal of Ocular Immunology and Inflammation

Autoimmune retinopathy – A case Report from India.Sudha KG, Arshee SA - Oman Journal of Ophthalmology

Bilateral multiple choroidal granulomas and systemic vasculitis as presenting features of tuberculosis in an immunocompetent patient. Nitin KM S, Sudharshan S, Sudha K Ganesh, Lingam G, Biswas J- Journal of Ophthalmic Inflammation and Infection - JOII-D-16-00049R1

Director Dr Jyotirmay Biswas
Deputy Director Dr. Sudha K Ganesh
Consultants Dr. Amala Elizabeth George
Dr. Amitabh Kumar (Kolkatta)
Dr. Anindya Kishore Majumder (Kolkatta)
Dr. Arshee S Ahmed
Dr. Mamta Agarwal
Dr. Parthapratim Dutta Majumder
Dr. Sudharshan S
Dr. Suchitra Pradeep
Dr. Sharanya Sarah Abraham
Dr. Vinita Girish Rao
Director - Uveitis Services
Dr Jyotirmay Biswas
Sankara Nethralaya (Main Campus)
No. 41 (old 18), College Road,
Chennai - 600 006, Tamil Nadu, India
E-Mail ID:drjb@snmail.org
Tel: 91-044-28271616 (12 lines)
Deputy Director - Uveitis Services
Dr. Sudha K Ganesh
Sankara Nethralaya (Main Campus)
No. 41 (old 18), College Road,
Chennai - 600 006, Tamil Nadu, India
Email ID:drskg@snmail.org
Tel: 91-044-28271616 (12 lines)