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38. TIO Posting presentation by Rahul.pptx
- 1. POSTING PRESENTATION TILGANGA INSTITUTEOF OPHTHALMOLOGY DR. NIGI SHRESTHA 2ND YEAR RESIDENT DEPARTMENT OF OPHTHALMOLOGY 2025/02/18
- 2. DURATION 1st January 2025 –14th February 2025
- 3. PURPOSE Subspeciality clinical exposureat Tilganga institute Of Ophthalmology
- 4. DURATION OF POSTINGIN DIFFERENT DEPARTMENTS Department Duration Surgical Retina Clinic 4 days Medical Retina Clinic 2 days Glaucoma Clinic 4 days Cornea Clinic 4 days OPAL Clinic 4 days Neuro-ophthalmology Clinic 3 days Pediatric Ophthalmology Clinic 3 days Uvea Clinic 3 days OT posting Clinic 7 days Refractive surgery unit 7 days
- 5. • Resident presenation: Monday and Wednesday • Dr. Deep Bahadur Karki Sir class : Tuesday and Thursday
- 6. SURGICAL RETINA CLINIC •Retinal detachment • Retinal hole • Macular hole • Vitreous hemorrhages • Recurrent lens sublxation • Post Pars palna vitrectomy with silicon oil insitu with endolaser following Retinal detachment
- 7. MEDICAL RETINA CLINIC •Diabetic retinopathy • Hypertensive retinopathy • Central serous chorioretinopathy • Age related macular degenerations • Choroidal neovascular membrane (CNVM) • Central retinal vein occlusion • Branched retinal vein occlusion
- 8. GLAUCOMA CLINIC • Acuteangle closure glaucoma • Primary open angle glaucoma • Pigmentary glaucoma • Pseudoexfoliation glaucoma • Trabeculectomy follow ups • Trans scleral cyclophotocoagulation follow up • Congenital glaucoma
- 9. CORNEA CLINIC • Cornealulcer (Bacterial / Fungal / Viral) • Ocular Surface Squamous Neoplasia (OSSN) • Goldenhar Syndrome • Crocodile Shagreen corneal dystrophy • Epithelial Basement Membrane Dystrophy (EBMD) • Corneal opacity • Sclerocornea • Keratoconus • Post op Keratoplasty case Graft rejection
- 11. OPAL CLINIC • NasoLacrimal duct Obstruction (NLDO) • Proptosis • Dacroadenitis • Thyroid eye disease • Idiopathic Orbital Inflammatory Syndrome (IOIS) • Congenital ptosis • Retinoblastoma • Optic nerve sheath meningioma (ONSM) • Reflex epiphora • Hemifacial spasm • Post op cases of DCT , DCR • Follow up case of Frontallis sling surgeries
- 12. NEURO-OPHTHALMOLOGY CLINIC • Thirdnerve palsy • Sixth nerve palsy • Optic neuritis • Ethambutal induced optic neuritis • Traumatic optic neuritis • Optic atrophy • Disc Odemea • Morning Glory Optic Disc Anomaly (MGODA)
- 13. PEDIATRIC OPHTHALMOLOGY CLINIC •Developmental cataract • Anophthalmia with anopthalmic cyst • Micropthalmus • Strabismus cases • Cortical visual impairment • Amblyopia • Vertnal kerato conjunctivitis • Progressive myopia • Congenital nasolacrimal duct obstruction
- 14. UVEA CLINIC • Oculartoxoplasmosis • Granulomatous / non granulomatous uveitis • Panuveitis • Endopthalmitis • Uveitic catatract • Scleritis • TASS
- 15. OT POSTING CLINIC •Enucleation • Painful blind eye • Retinoblastoma • Eviceration • Dacrocystectomy • Dacrocystorinostomy • Conventional • Endoscopic • Endolaser • Lateral Tarsal Strip (LTS) Procedure • Electroepilation • Conjunctival cyst excision with amniotic membrane graft • Pterygium excinsion with conjunctival graft using fibrin glue
- 16. • SICS • Phacoemulsificationwith FIOL • Phacoemulsification with FIOL with pupillary stretch • Phacoemulsification with trabeculectomy
- 17. • Pars planavitrectomy with endolaser with silicon oil insitu • Silicon oil removal • Pars plana vitrectomy with membrane peeling with endolaser with silicon oil insitu • Lens extraction with scleral fiixation IOL • PPV with vitreous haemorrhage
- 18. • Penetrating keratoplasty •DSEK (Descemet Stripping Endothelial Keratoplasty ) • Collagen crosslinking
- 19. • Strabismus surgeries •Open globe injury repairs
- 20. REFRACTIVE SURGERY UNIT •LASIK • SMILE PRO • SMILE + • LASIK + • PRK • ICL • C3R/ CXL • CAIRS (Corneal Allogenic Intrastromal Ring Segments)
- 21. • Equipment used:Zeiss Visumax 800 • Pentacam and corneal topography • The department follows the protocol of London Vision Clinic
- 22. NEPAL EYE BANK •Corneal-sclera excision in situ is practiced currently • Previously cornea was extracted by enucleation • Sources Hospital based Crematorium Voluntary donations Used for PK, DSEK Starting DMEK services Also provided amniotic membrane graft (AMG)
- 23. PROCEDURES • Nd:YAG capsulotomy •Retinal Laser – PRP, Barrage Laser, Focal retinal laser • Peripheral iridotomy • Botox injection • Corneal scraping • Intense pulsed light (IPL) and Low Level Light Therapy (LLLT)
- 24. • Vision therapy •Amblyopia • Convergence insufficiency • Accommodation insufficiency • Low Vision Aid
- 25. NEURO VISION THERAPY •Cortical Visual Impairment (CVI) • Aim: Regain visual functions and improve their visual processing • Done by providing visual and audiological stimulus
- 26. INVESTIGATIONS • FFA • Posteriorsegment OCT • Anterior segment OCT • Visual Electrophysiology • Dry eye evaluation • Corneal topography • Pentacam • Contrast sensitivity analyzer
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