Institution History   Citizens Charter   Departments   Clinical   Department of Medicine   Department of Anaesthesia   Dept of Urology   Department of Surgery   Department of Cardiology   Department of Radiology & Radiotherapy   Department of Obs. & Gyn.   Department of Dermatology & Venerology   Department of Paediatrics   Department of Nephrology   Department of Ophthalmology   Department of ENT   Department of Dental   Department of Psychiatry   Department of Plastic Surgery   Department of Neuro-surgery   Department of Neurology   Department of Cardiothoracic Surgery   Department of Orthopedics   Department of Medical Gastro-enterology   Department of Dental Sciences   Department Of Pediatric Surgery   Department of Chest Medicine   Department of Surgical Gastroenterology   Non-clinical   Department of Anatomy   Department of Biochemistry   Department of Community Medicine   Department of Microbiology   Department of Forensic Medicine   Department of Pathology   Department of Physiology   Department of Pharmacology   Journal Publicatons   Awards Received   Interesting Cases   Photos of our institutional Activities   Student Center   General   Students council   Ladies Hostel   Mens Hostel   Scholorships   Activities   Clubs   NSS   Medical Education Unit   Library   Committees   AntiRagging   Patient Information Center   Denque   Courses   UG   PG   Course Documents Admission and Govt Approval   Alumini GMKMC   History   Downloads and contact   Facilities   CMHIS   General Instructions   GMKMCH   Hospital Services   General   Master Health Checkup   Special services   Blood Bank   Bio-medical waste   Diet for Patients   Research facilites   MDRU   VDRL ::Departments : Clinical : Department of Ophthalmology                                 Our First Ophthalmic ward was opened by Sri K. KAMARAJ NADAR, Chief Minister on 20-10-1956.         Our Hospital is the tertiary care centre for the surrounding 4 districts.                    The Ophthalmology department functions in a separate block accommodating the Outpatient/Inpatient and Operation Theatres. We have 2 Major operation theatres and one Minor operation theatre.              We see around 35,000 outpatients per year and operate on more than 4000 patients per year.               We have trained faculty for Cornea, Oculoplasty, vitreo retinal surgery, low vision aids, and Medical Retina.               We perform surgeries on all 6 days a week. The surgeries performed are for Cataract (SICS /Phacoemulsification), Keratoplasty, Oculoplasty, Anti glaucoma Surgeries and Surgeries for Peadiatric cataract, and Retina.              We have Special Clinics for Glaucoma and Nd YAG Laser for doing laser iridotomy and capsulotomy. We screen for Retinopathy of Prematurity for infants in NICU and screen for diabetic retinopathy in the diabetic outpatient department.   We have Green Laser to treat for retinal diseases (ROP and DR). Being a tertiary care centre with super specialty hospital we attend to number of Trauma and Neuro-Ophthalmology patients.       Services Offered :   Number of units in the Dept. One OP Days and Timings Monday to Saturday 8 AM to 12 Noon IP Unit and Admission Day Single Unit in all days Bed Strength of Department 60 Beds. Average OP Statistics 150 / day Average IP Statistics 750 / Month Type of Surgeries Performed Emergency : 1.Corneal Tear Suturing 2.Ruptured Globe Suturing 3.Lid Tear Suturing   Elective : 1.Cataract Surgery 2.Glaucoma Surgery 3.Keratoplasty 4.Dacryocystectomy 5.Incision & Curretage for chalazian 6.Oculoplasty –Lid reconstruction, tumor Excision 7.Intravitreal Injection 8.Pterygium excision 9.Ectropion ,Entropion—Correction 10.Tarsorrhaphy 11.Enucleation 12.Evisceration 13.Amniotic membrane grafting 14.Orbitotomy             Special clinics Conducted  Glaucoma clinic / Cornea clinic List of lab test done Keratometry, A-scan biometry, B-scan, Indirect, Ophthalmoscope,Tonometry   Other Special test or Modalities of Treatment  B Scan, Automated perimetry Objective, Eligibility, procedure to get the facility and list of Surgeries covered under CM Health Insurance Scheme The List is Enclosed Management  team  Categorization of waste and training on Bio Medical Waste Management All the Assistans,CRRI’S, Staff nurses and Student nurses     Surgeries Covered Under CMCHIS CORNEA PROCEDURES 1.Therapeutic  Penetrating Keratoplasty 2.Lamellar Keratoplasty 3.Cornea Patch Graft 4.Scleral Patch Graft 5.Penetrating Keratoplasty 6.Collagen Cross Linking For Keratoconus OCULOPLASTY PROCEDURES 1.Double Z-Plasty 2.Amniotic Membrane Graft 3.Sockt Reconstruction 4.Dermis Fat Graft 5.Orbitotomy 6.Enucleation With Orbital Implant 7.Lid Reconstruction Surgery VITREORETINAL PROCEDURES 1.Removal Of Silicon Oil Gas 2.Vitrectomy 3.Vitrectomy-Membrane Peeling-Endolaser 4.Monthly Intravitreal Anti-Vegf.Injection For Macular Degeneration-(Maximum 6) 5.Vitrectomy-Membrane Peeling-Endolaser,Silicon Oil 6.Scleral Buckle For Retinal Detachment 7.Photocoaogulation For Diabetic Retinopathy Per Sitting 8.Vitrectomy Plus Silicon Oil Or Gas SQUINT PROCEDURES 1.Rectus Muscle Surgery (Single) 2.Rectus Muscle Surgery (Two/Three) 3.Oblique Muscle PAEDIATRIC PROCEDURES 1.Peadiatric Cataract Surgery (Phacoemulisification-IOL) 2.Photocoagulation For Retinopathy Of Prematurity 3.Glaucoma Filtering Surgery For Pediatric Glaucoma ADULT GLAUCOMA PROCEDURE 4.Adult Glaucoma Surgery,Trabeculectomy,Implant Surgery Academic Activities 75 days clinical posting & 100 hrs of theory classes for prefinal year MBBS Students are handled by Department faculty. 1. 100 hours of theory class. 2. 75 days clinical classes                     a. students are taught to examine the patients and make clinical diagnosis and to                                present the case.                      b. Observe surgeries in operation theatre. 3. GROUP DISCUSSION on every Friday. 4. We are conducting 3 Symposium for pre-final year students. CME: Our department conducted CME on Comprehensive Ophthalmology on 22-6-2016. We conducted quiz programme for undergraduates and gave prizes to first three team winners. C.R.R.I:      All undergraduate students undergo training in Ophthalmology during their internship for 15 days. Once in a week we have group clinical discussion about interesting case . NURSING STUDENTS:      Diploma & Bsc nursing students attend eye OP for their clinical Posting.      Theory classes are also taken by department faculty. LIBRARY:      A spacious and furnished library with books and journals are available in our department. CENSUS                                    YEAR                         OP CENSUS                   IP CENSUS MALE FEMALE CH TOTAL MALE FEMALE CH TOTAL 2013 9667 9878 1575 21,120 1879 2808 17 4,704   2014   11,031 10,302 1435 22,768 1877 2851 54 4,782 2015 16804 15058 1736 33,628 1735 2472 17 4,224 2016-TILL JUNE16 7080   6901   919   14900 808   1201   2   1982      OT & LASER CENSUS – 2013 -2016- Till date 2014   4233 91 18 86 15   4015   313 46 126 2016-TILL JULY,16 1890 154 55 181       May MONTH                         OP CENSUS                   IP CENSUS MALE FEMALE CH TOTAL MALE FEMALE CH TOTAL MAY 930 1031 147 2108 132 221 1 335 Ravindar Kashyap T., Prefinal year student got selected for the essay Competition for his write up on “Advancements in cataract surgery”. The topic given to him in the final round was “The best way to eye Donation – your opinion” and he was appreciated for his language  and won the 1st  Place in K A P Vishwanathan Medical College, Trichy held on 2014-2015. INTERSTING CASE REPORT FOR THE MONTH OF MARCH- 2017                                   Menaka, 27 years old lady reported to our department with complains of redness, Swelling and pain in left eye for 2 weeks,  then developed headache, giddiness, weakness in right upper and lower limb and deviation of angle of mouth towards left side. H/O low grade fever intermittent, associated with chills present. Her vision was: BE: 6/6  On Ocularexamination, RE-Normal, LE shows proptosis, conjunctival congestion, bruit & thrill present  extra ocular movements showed RE-full & LE abduction restricted, Fundus BE-Normal. Diplopia charting shows horizontal uncrossed & lateral rectus palsy – left abduscent nerve palsy. General examination showed angle of deviation of mouth towards left side, power 3/5 in upper and     lower limb, tone increased in upper and lower limb.                                   Investigation showed blood investigations were normal. ECHO &ECG were normal MRI and MRA & V Brain- medium sized acute infarct in Left ganglia capsular region,                      Moderate to severe stenosis noted in the cervical segment & cavernous region – left ICA                      Wall thickening intra orbital part of right ICA                                                        It’s a case of Carotico cavernous fistula with abduscent nerve palsy treatment given for stroke and patient is on regular ocular and neurological follow up. CAROTICO CAVERNOUS FISTULA Carotico cavernous fistula is an Abnormal communication between previously normal carotid artery and cavernous sinus characterized as: Direct & Indirect, High & Low Flow and Traumatic & Spontaneous .   Causes are due to 1. Trauma in 75% of all cases –        Basal skull fracture tears ICA within cavernous sinus –        Traumatic fistulae-high flow rates, sudden and dramatic onset of symptoms 2. Spontaneous rupture of aneurysm or atherosclerotic artery in 25% Neurofibromatosis, atherosclerotic disease and collagen vascular disease                            3. Iatrogenic Arterial blood passes directly through a defect in the wall of intracavernous portion of ICA Blood in vein becomes arterialized,Venous pressure increases and Arterial pressure and perfusion decreases Ocular manifestation includes : Pulsatile Proptosis, Ptosis, Very red, chemotic congestion, Increased IOP from increased episcleral venous pressure. Anterior segment ischemia in 20% -Corneal edema, cell/flare, iris atrophy, rubeosis, cataract, Bruit and thrill, Muscle palsies, .Visual loss Ophthalmic consequences of CCSF are caused by compression and ischemia related to increased venous pressure and reduced arterial pressure, flow reversal leads to engorged ophthalmic veins causing proptosis, conjunctival injection, chemosis.  Patients complain of retro-orbital headache, or a bruit.  Facial pain with V1 and V2 involvement Angiography is the definitive diagnostic examination CT and MRI may show –        Enlarged superior ophthalmic vein –        Enlarged muscles –        Enlarged cavernous sinus with a convex shape to the lateral wall Most are not life-threatening –        Only involved eye is at risk typically Main indicators for treatment –        Glaucoma –        Diplopia –        Intolerable bruit or HA –        Severe proptosis causing exposure keratopathy –          99% of treatment is done by interventional neuroradiologists -Intravascular approach-placement of thrombogenic materials, eg coils Other therapies include: -          carotid artery ligation -          surgical exposure with clipping of the fistula -          Transarterial embolization.       Designed & Developed by This site can be best viewed in 1024x768 screen resolution.