- Contact lens service
- Microbiology laboratory
- Eye bank
- Investigations
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| Investigations: |
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Specular Microscopy
A Specular Microscope helps to document the health of the corneal endothelium and diagnose early cases of Fuchs endothelial dystrophy. The appropriate management of cataracts with compromised corneas is also helped by specular microscopy. Keeping a track of the endothelial cell count pre and post penetrating keratoplasty is made possible with clinical specular microscopy.
Specular microscopy is also important before collagen cross linking and phakic intraocular lens implantation. |
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Photoslit Lamp
Documentation of corneal pathology is aided by the Haag Streit slit lamp with Sony camera and a computerised record is maintained.
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Tonopen
Intraocular pressure measurement in irregular, scarred, edematous corneas may be more accurately measured with this instrument. While applanation tonometry(widely available at ICARE eye hospital) is still the gold standard for intraocular pressure measurement , tonopen provides a quick and reliable measurement in scarred, irregular corneas and in post penetrating keratoplasty where there may be variable corneal thickness and astigmatism. |
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Corneal Topography
ICARE eye hospital has Orbscan II which can evaluate the topography of the cornea as well as measure the corneal thickness. The orbscan has placid and slit scanning technology which can assist in detecting forme frusta keratoconus, post lasik ectasias, posterior keratoconus. Planned selective suture removal in penetrating and anterior lamellar keratoplasty is made easy with this technology. |
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Ultrasonic Biomicroscopy (UBM)
UBM is an important tool in scarred and hazy corneas. Angle structures, crystalline lens, anterior or posterior chamber intraocular lenses can be visualized in cases where there is no visibility of the anterior segment. |
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| Microbiology Laboratory: |
| Equipped with an Olympus self illuminating microscope. Corneal scraping in cases of microbial keratitis is done to accurately identify the pathogens. KOH, Gram, Geimsa, Acid fast staining (1 % and 20 %) is done routinely in all cases of microbial keratitis. Plating of saborauds dextrose agar and blood agar culture plates is also done routinely. All cases of microbial keratitis are documented and followed up till complete healing occurs. |
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| Eye Bank: |
Eye bank at ICARE eye hospital was established in 1997. It is registered with the eyebank association of India(EBAI) and with the Ministry of health govt of UP. ICARE eye bank is ably supported by the Sanjay Anand trust. It is well equipped with
- Eye bank specular microscope
- Refrigerator
- Laminar flow hood
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| The cornea services of ICARE eye hospital with support of the eye bank has performed more than 600 keratoplasties over the last few years. |
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| Services provided by Cornea Department |
- Dry eye management
- Medical and surgical- lubricants, punctual plugging, punctual occlusion- temporary and permanant
- Ocular surface disorders treatment
- Management of corneal erosions, epithelial defects
- Treatment of corneal ulcers with laboratory backup
- Penetrating and lamellar keratoplasty
- Corneal collagen crosslinking
- EDTA chelation for band shaped keratopathy
- Corneal tattooing for unsightly scars in non seeing eyes
- Amnitotic membrane grafts
- Pterygium surgery with conjunctival autografts with fibrin glue
- Anterior stromal puncture
- Bandage contact lens fititing
- Cyanoacrylate glue + bandage contact lens
- Lamellar and penetrating keratoplasty
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