MGMC Logo
Home  |  Contact Us  |  Sitemap
You are Here: Home > Departments > Ophthalmology

The department was established along with the college in the year of 2001.Since then it has grown into one of the well-established departments of the institute. The department offers comprehensive ophthalmic care besides services of specialised clinics like glaucoma, retina, cornea, neuro-ophthalmology and pediatric ophthalmology. The department has an Eye Bank and is a member of Eye Bank Association of India. The department also conducts regular outreach camps in rural areas of Puducherry and Tamil Nadu. It is an active participant of District Blindness Control Society of both Cuddalore & Vilupuram districts. The department admits 5 Masters and one Diploma post graduate every year.


Mission statement

The department aims to achieve excellence in patient care, medical education and research. It aims to evolve into an epicenter of excellence in eye care especially in patients with co-morbid medical ailments.

 


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.


Services offered
The department offers affordable, quality medical and surgical eye care on outpatient and inpatient basis for patients from Puducherry, Cuddalore, Villupuram & neighbouring areas. It also provides comprehensive undergraduate and post-graduate teaching programmes.

Procedures done
The department performs a range of diagnostic, preventive and curative aspects of ophthalmic services. These includes refraction, glaucoma screening, treatment and follow up, screening and treatment for diabetic retinopathy, diagnosis of papilledema, first aid for chemical and mechanical injuries to the eye, surgeries for pterygium, cataract, glaucoma, corneal blindness etc.

CQI monitoring
Continuous quality improvement monitoring is done at the departmental level by auditing the OPD and inpatient attendance, number of cataract surgeries performed, post-operative results, eyes enucleated for eye donation, camps conducted and actual number of patients benefitted from these camps. Faculty meeting is conducted monthly on first Wednesday of the month to review the patient care system, student activity and departmental activity.

Quality improvement plan
Department is planning to provide a choice of intraocular lenses in patients wishing to undergo cataract surgery in our hospital. There is also a move to increase the number of patients undergoing cataract surgery by phacoemulsification. Patients who require ophthalmic care other than cataract surgery will also be offered services at eye camps.
Special services
Department provides special clinics like glaucoma clinics, retina clinics, neuro-ophthalmology clinics, cornea clinics, paediatric and strabismus clinics.

Outreach program

Faculties, postgraduate students and CRRI from the department take part in the health camps organized by Ophthalmology department and the department of Community Medicine, and the NGOs .They take part in educating the public in and around Puducherry regarding eye health, glaucoma, diabetic retinopathy, and other preventable blindness through regular health talks.

The department has entered into an MOU with DBCS of 2 nearby districts and takes active part in District Blindness Control Society of both Cuddalore & Villupuram districts. It has been conducting peripheral outreach services in these districts since 2012.

A team of PGs, interns, ophthalmic assistant and community health worker, headed by a Consultant conduct eye screening at prepared and advertised camp site. On an average 100 -200 patients are screened per camp. Those requiring surgical treatment are transported to the Hospital & after proper evaluation, surgery is performed for them. Refractive errors are corrected by glasses and those requiring medical management are managed at camp site.

Patients with corneal blindness are registered for keratoplasty (corneal grafting) and as & when good quality cornea is received, the patients are called & keratoplasty performed.

In the year 2014-15, the department had conducted around 60 camps, screened almost 8000 patients through camps.

 


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.

 

Details of Faculty participation in FDPs:

 

SL.NO FACULTY NAME NAME & TYPE OF EVENT NAME OF HOST INSTITUTION DATE & YEAR INTERNATIONAL, NATIONAL/STATE/UNIVERSITY NATURE OF PARTICIPATION
1. Dr.K.Srikanth Refresher course AIOS & JIPMER 2014; Sept 11-14 National Resource person /Invitee
Instruction course: Imaging in Ophthalmology TNOA Annual State conference 8th – 10th Aug 2014   State Resource person
CME on          Update on Keratoconus CME 13th July 2014 State Resource person
Instruction course: Visual Field Examination   TNOA Annual State conference 2012 State Resource person
Instruction course: Fundus Fluorescein Angiography TNOA Annual State conference 2011 State Resource person
Instruction course: Step by step SICS TNOA Annual State conference 2010 State Resource person
Ocular fundus in general medicine Workshop 2010 University Resource person
 2. Dr.K.N.Jha Refresher course AIOS & JIPMER 2014; Sept 11-14 National Resource person /Invitee
Instruction course: Imaging in Ophthalmology TNOA Annual State conference 8th – 10th Aug 2014   State Resource person
CME on Sleep, Consciousness and Meditation CME 22 November, 2014 University Resource Person
Yoga and Lifestyle disorders CME- cum-Workshop 22 November 2013 University Resource Person
Pragmatism, Realism, and Professionalism Panel discussion 01 July 2014 University Panelist
 3. Dr.Swathi.N Instruction course: Imaging in Ophthalmology TNOA Annual State conference 8th – 10th Aug 2014   State Resource person
Statistics workshop SBVU University Delegate
Dr.A.R.Rajalakshmi Workshop on microteaching SBVU 6th June 2013 University Delegate
Workshop on Basic courses in medical education SBVU 28th-30thApril 2014 University Delegate

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