About Cataract Clinic at Aravind

Cataract is the leading cause of blindness in the world. Even though vision lost due to cataract can be restored through a simple and minor procedure, it remains as one of the significant causes of preventable blindness. The Cataract and IOL Department at Aravind is equipped to treat all kinds of cataracts. Expert doctors, well trained support staff and state-of-the-art diagnostics ensure the best possible care to patients.  Over 3 lakh cataract surgeries are performed annually at Aravind Eye Hospitals.

Cataract services are available at Aravind – Madurai, Chennai, Tirunelveli, Coimbatore, Pondicherry, Salem, Tirupati, Theni, Dindigul, Tuticorin, Udumalpet, Tirupur

Cataract - Diagnostic and Treatment

All types of cataract surgeries –Phacoemulsification, Manual Small Incision Cataract Surgery, Refractive cataract surgery, Femtosecond laser assisted cataract surgery and surgery on complicated cataracts – are performed by competent surgeons. The state of the art facilities available include:

  • Femtosecond laser assisted surgeries for all grades of normal and complicated cataracts.
  • High end phacoemulsification system which enables to perform phacoemulsification (Micro incision sutureless surgery) under topical anesthesia
  • Microscopes which enable excellent visibility and enhance margin of safety. Use of high quality IOLs (manufactured in-house and outsourced from multinational companies) aids to improve postoperative vision and treat refractive conditions like high myopia, presbyopia and astigmatism
  • Advanced surgical instruments which aid in precision during surgery
  • Toric planners (Verion) for precise implantation of Toric IOLs
  • Zeiss Visulas YAG III plus laser to treat posterior capsular opacification occurring after cataract surgery
  • Latest generation optical biometers to accurately calculate intra ocular lens powers in normal eyes and in eyes with pre-existing conditions such as high myopia
  • Aberrometers to reassess the biometry with precision, and calculate higher order aberrations.
  • Specular microscope and pachymeter which allows to select the correct surgical options for patients
  • Digital slit lamp photography unit
  • Contrast sensitivity testing equipment

Cataract - Ongoing Research

The department is involved in various research activities both basic as well as clinical. Clinical trials for new drugs are also being conducted in the department.

On-going research:

  • APEX A prospective, multicentric, randomized controlled, study on long term outcomes of Phacoemulsification with Intraocular lens implantation in pseudo exfoliation Syndrome patients
  • A prospective, non-randomized, single arm, open label Study to evaluate the efficacy of multifocal Intra ocular lenses with patients having cataract in both eyes
  • Visual performance comparison between Phacoemulsification and manual small incision cataract surgery in eyes with senile Cataract – A prospective randomised clinical trial
  • Prostaglandin level estimation in phacoemulsification and Femtosecond laser assisted cataract surgery with and without NSAID and correlation with postoperative inflammation and cystoid macular edema
  • Prospective intracameral moxifloxacin endothelial safety study in patients having cataract surgery comparing 500 mcg/0.1 ml in one eye and 250 mcg/0.1ml in the opposite eye.
  • Evaluation of posterior capsular changes, IOL glistening and visual outcome after implantation of Vivinex TM intraocular lens (IOL) in routine clinical practice
  • Visual outcomes of SMART SICS
  • A retrospective study of causes of poor visual outcome in cataract surgery patients (phacoemulsification)
  • Comparative study of pre-operative reference marking for Toric Intraocular lens  by manual toric marker over slit-lamp and by electronic device (ASICO TORIC MARKER)
  • Comparison of intraoperative posterior capsular rent (PCR) and Zonular dialysis (ZD) in mature cataracts in SICS and Phacoemulsification at Aravind Eye Hospital, Madurai

Major Publications

 

Cataract - Training

State-of-the-art infrastructure and training facilities like Wetlab and EYEsi surgical simulator attract ophthalmologists from around the world to come and learn at Aravind. The training programmes include long and short term courses and a customized training program for US Residents.

Long Term Ophthalmology Fellowship

Fellowship in Anterior Segment / Intraocular Lens Surgery 

  • This course is available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry, Chennai, Tirupati

Short Term Clinical Courses

Small Incision Cataract Surgery 

  • This course is available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry

Phacoemulsification 

  • This course is available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry