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The Department of Neurosurgery at Mahatma Gandhi Medical College and Research Institute (MGMCRI), Pondicherry offers comprehensive treatments for disorders of the nervous system. Backed by a highly trained medical team and modern technology, the department aims at improving neurosurgical care in Pondicherry and adjoining areas.


 


OUTPATIENT DEPARTMENT

The outpatient department of ophthalmology is located in the first floor ‘G’ block of the Mahatma Gandhi Medical College and Research Institute. It is a spacious, well-lit centrally air conditioned block.

Service areas  
  • Reception area & Nurses station: Patient registration is done followed by triaging and unless a case of chemical injury, patient is sent to preliminary visual acuty testing
  • Patient waiting area: Patients are comfortably seated while awaiting their turn for consultation /dilatation of pupil/ minor procedures/ speciality clinic evaluation
  • Refraction room : Patient’s visual acuity is checked for distance and near
  • Consultation rooms: There are 4 consulatation rooms, each with a slit lamp. Patients are examined and evaluated by qualified consultants along with post graduates. If a diagnosis is arrived at & treatment instituted – patient sent with appropriate prescription, advice & date for follow up. Else further evaluation as appropriate is carried out.
  • Dark room:Retinoscopy and subjective examination done by post graduate students and refractionists. This is counterchecked by consultants if necessary
  • Speciality clinics:Glaucoma, Cornea, Retina, Neuro-ophthalmology, Strabismus & Pediatric Ophthalmology
  • LASER room:LASERs delivery by Slit Lamp delivery system for both anterior and posterior segments. The procedure is performed by qualified consultants after written informed consent
  • Minor procedure room:Procedures like
    1. Intra ocular pressure measurement by Schiotz tonometer (verbal consent)
    2. Syringing of nasolacrimal drainage system (verbal consent)
    3. Indirect ophthalmoscopy (verbal consent)
    4. Incision and curettage , incision and drainage, small conjunctival mass excisions etc (written informed consent)
    Special investigations rooms:special procedures and investigations are done here. They include:
    1. Optical coherence tomography
    2. Fundus flurescein angiography
    3. Slit lamp photography
    4. Keratometer
    5. A scan
    6. Perimeter

    Demonstration rooms:
    For the purpose of undergraduate and postgraduate teaching. The post graduate demonstration room is also fitted with an overhead projector

 

INPATIENT DEPARTMENT
The inpatient department of ophthalmology speciality is located in the sixth floor ‘I’ block of the Mahatma Gandhi Medical College and Research Institute. It is a spacious, well-lit general ward, with a lift in the block. The wards are divided into Pre-op, Post-op and Septic zones. The number of beds in each zone varies as per requirement at a given time. Patients from camps and from OPD are admitted here unless they request for special ward of their choice.

 

OPERATION THEATRE
Our operation theatre (OT) is OT suite 9, in the Operation Theatre Complex located in the second floor ‘A’ block.

The department has one operating suite with 2 surgical tables and 2 state-of-the-art microscopes. With a phacoemmulsification machine. Vitrectomy machine, diathermy cautery and suctions apparatus, the OT is equipped for 10-15 major surgeries per day.

The surgeries commonly performed include: cataract extraction & IOL implantation, trabeculectomy, keratoplasty, squint correction, pterygium surgery, lacrimal sac surgeries.

Operation Theatre Complex is designed scientifically to ensure sterility, easy maintenance and effective utilization. For an unbreachable sterile OT complex, it has been segregated in various zones.

 

Corneal Retrieval & Transplantation Centre
The Department of Ophthalmology has been approved as a centre for corneal retrival and transplantation from 2010. The Department is also a member of Eye Bank Association of India. Post graduates are trained in enucleation and enucleate eyes of deceased from both hospital & house calls.

Over the last 5 years around 300 pairs of eye have been harvested & 90 corneal transplantations performed.


MGMCRI Neurosurgery department
Our team consists of efficient neurosurgeons, neuro nurses and technicians. A multi-disciplinary approach utilizing various departments provides inclusive patient care. Some of the facilities available in the department include.

  • Carl Zeiss S88 Operating Microscope
  • Stryker high speed drill system
  • Codman Malis CMC V bipolar system
  • Greenberg brain retractor system
  • Dedicated Post-operative area

We receive excellent ancillary support from associated departments a few of which are mentioned below

  • Anaesthesia (Intensive Care Unit)
  • Radiology (1.5 Tesla MRI, 128 slice CT)
  • Neurology (Electroencephalogram, Electromyogram, Nerve Conduction Studies)
We provide treatment for the following conditions:
  • Head injury(Round the clock emergency care available)
    1. Extradural hematoma
    2. Subdural hematoma
    3. Contusions
    4. Brain parenchymal hematomas
    5. Brain swelling
    6. Depressed skull fractures
    7. CSF rhinorrhoea
    8. Critical Care for head injury patients
  • Spine conditions
    1. Neck pain, Arm pain, difficulty in walking due to cervical disc herniation and cervical spondylosis with nerve compression
    2. Back pain, Leg pain due to lumbar disc prolapse, lumbar canal stenosis with nerve compression
    3. Anomalies of the cranio-vertebral junction
      • Atlantoaxial subluxation
      • Basilar invagination
    4. Difficulty walking due to thoracic canal stenosis with nerve compression
    5. Spinal instability needing instrumentation and fusion
    6. Tuberculosis of the spine
    7. Spinal cord injuries
    8. Spinal column injuries
    9. Tumours of the spine including
      • Schwannoma
      • Neurofibroma
      • Meningioma
      • Metastases
      • Astrocytoma
      • Ependymoma
    10. Tumours of the spinal column
  • Brain tumours
    1. Gliomas
    2. Metastases
    3. Acoustic tumours
    4. Pituitary tumours
    5. Skull base tumours
  • Cerebrovascular conditions
    1. Aneurysms
    2. Arteriorvenous malformations
    3. Cavernous malformations
    4. Intracranial hematomas
    5. Stroke surgery
    6. Carotid stenosis
  • Infections
    1. Tuberculous meningitis with hydrocephalus
    2. Tuberculoma
    3. Brain abscess
    4. Subdural empyema
    5. Skull osteomyelitis
    6. Skull base fungal infections
  • Paediatric Neurosurgical conditions
    1. Hydrocephalus
    2. Chiari malformation
    3. Spina dysraphism
    4. Craniosynostosis
    5. Encephalocoeles
    6. Brain tumours
    7. Epilepsy
  • Conditions in the elderly
    1. Chronic subdural hematoma
    2. Tumours
    3. Normal pressure hydrocephalus

 


Faculty and postgraduate students are encouraged to participate in conferences, CME and workshops at local, regional national and international level at regular intervals. They are also encouraged to present scientific papers/ posters in these conferences.

 


Under Construction

 

 

 

Teaching

The department handles both undergraduate and postgraduate students. The undergraduate teaching schedule is as per MCI norm. Clinical teaching is conducted in the outpatient department and ward. Theory classes are taken in the college lecture hall as per the schedule made semester wise and follow the SBV curriculum. The postgraduate teaching schedule is as per MCI norm. Clinical teaching is conducted in the outpatient department and inpatient ward. Theory classes are taken in the department demonstration room as per the schedule made monthly and follow the SBV curriculum. The method of teaching for post graduates are seminars, journal clubs, case presentations, group discussions and faculty presentations. These academic activities are moderated by faculty of the department.

Undergraduate teaching

The broad goal of the teaching of undergraduate students in Ophthalmology is that he/ she shall acquire understanding of Anatomy, Physiology and Pathophysiology of the eye, gain the ability to optimally administer first aid in ocular emergencies, manage common conditions affecting the eye, know what systemic ailments require ophthalmology evaluation and when to refer a patient to the ophthalmologist.

Objectives

At the end of training in Ophthalmology, the student will be able to:

  • Appreciate the socio-cultural and demographic factors that influence the practice of Ophthalmology
  • Appreciate anatomy and physiology principles of the eye
  • Be able to recognise and manage common ocular ailments
  • Be able to administer First Aid in ocular emergencies
  • Be aware of what systemic diseases require ophthalmic evaluation
  • Be aware of when to refer a patient to the ophthalmologist
Knowledge

At the end of the course, the student shall be able to:

  • Outline the Anatomy, Physiology and Pathophysiology of the eye and the common conditions affecting it.
  • Detect common ocular problems he/ she is likely to encounter and describe principles of their management
  • List the leading causes of blindness and ways to manage them with special attention to childhood blindness.
  • Describe the National Programme of Control of Blindness, District Blindness Control Society, Vision 2020 and their implementation at various levels.
  • State the indications techniques and complications of surgeries like cataract extraction, for lid swellings, pterygium
  • Describe Eye banking, counselling for eye donation and keratoplasty principles
Skills

At the end of the course, the student shall be able to:

  • Elicit a history pertinent to general health and ocular status;
  • Perform diagnostic procedures such as visual acuity testing, examination of eye by torch light, distant direct ophthalmoscopy .
  • Diagnose and treat common problems affecting the eye
  • Interpret ophthalmic signs in relation to common systemic disorders
  • Provide first aid in major ophthalmic emergencies
  • Assist to organise community surveys for visual check up
  • Use effective means of communication with the public and individual to motivate for surgery in cataract and for eye donation
Integration

The student should be able to integrate clinical skills with other disciplines.

Compulsory Rotational & Residential Internship (CRRI)

Internship is a period of one year training for undergraduate student after successful completion of 4 ½ years MBBS course. During this period they are posted for the two weeks to the department of ophthalmology.

Objectives

At the end of this two weeks posting the technical skills that interns are expected to learn:

  • Detect and manage common ocular ailments.
  • Judge which patients require ophthalmologist intervention
  • Examine a post-op case of cataract extraction and determine if post-operative period is uneventful / recognise complications
  • Interpret ophthalmic signs in relation to common systemic disorders
  • Provide first aid in major ophthalmic emergencies
  • Performs few diagnostic tests like evaluation of visual acuity, measurement by Schiotz tonometry, syringing of nasolacrimal passage, staining of cornea, confrontation perimetry, cover test, presbiopic correction
  • Assist in eye camps and community eye check-ups.
  • Motivate and counsel patients for cataract surgery, glaucoma evaluation and regular medications if required
  • Counsel relative of deceased for eye donation
  • Establish rapport with his seniors, colleagues and paramedical workers, so as to effectively function as a member of the eye care team.
Postgraduate Training

The residency program in Ophthalmology constitutes a structured educational experience, planned in continuity with undergraduate and continuing medical education, in the health care area encompassed by this specialty.

5 Master of Surgery (M.S) and 1 Diploma of Ophthalmology, postgraduate students are admitted every year. They are trained by rotation in both the units of the dept. In the second year of post-graduation they are posted to departments of emergency medicine, neurology and plastic surgery. They are also sent for one month observer-ship to Aravind Eye Hospital, Puducherry. Postgraduate training programme includes presentations in symposia, journal clubs, clinical case discussions, audit meetings and lectures.

Goal of postgraduate medical education is to produce competent specialists and/or Medical teachers

  • who shall recognize the health needs of the community, and carry out professional obligations ethically and in keeping with the objectives of the national health policy
  • who shall have mastered most of the competencies, pertaining to the speciality, that are required to be practiced at the secondary and the tertiary levels of the health care delivery system
  • who shall be aware of the contemporary advance and developments in the discipline concerned
  • who shall have acquired a spirit of scientific inquiry and is oriented to the principles of research methodology and epidemiology
  • who shall have acquired the basic skills in teaching of the medical and paramedical professionals
Components of the postgraduate curriculum

  • Theoretical knowledge
  • Practical and clinical skills
  • Writing Thesis/Research articles
  • Attitudes including communication skills
  • Training in Research Methodology, Medical Ethics and Medico legal aspects