Department of Ophthalmology

History

The Department of Ophthalmology at T.N.M.C & B.Y.L.NAIR CH. HOSPITAL is one of the best teaching   departments amongst the government medical colleges in the country, equipped with state of the art  facilities, making it one of the most coveted places for post graduation training in the country.

    • The ophthalmology department was established in 1923 with Dr. C.R. Athavale in-charge of the             department. He was succeeded by Dr. Hiralal Patel who  was   Honorary   Professor  & HOD (1945-            1957). In 1945, an important landmark, a full-fledged ophthalmic unit was established    and 16 beds     were exclusively reserved for ophthalmic patients.
    • Dr. A. M. Gokhale then took over as Honorary Professor and Head of the department (1957-1971).     Dr. Gokhale was a stern disciplinarian and expanded the ophthalmology department             considerably.   He did the first keratoplasty in Mumbai in 1951 and specialized in ERG. He continued his association with these institutions even after retirement.
    • Dr.Abreu was Honorary Ophthalmologist from 1969 to 1970 & was the first to head the second unit which started in 1969. In the same year i.e. in 1969 with Maharashtra Government        approval, Eye bank was started under Cornea Grafting Act, 1969.
    • Dr.Piyush Dixit succeeded Dr. Gokhale as Honorary Professor and Head (1971- 1985). Mobile Ophthalmic Van, the only van of its kind in Mumbai was made available for community ophthalmic services in 1975.
    • Dr.(Smt) Gynam Murthy then took over the department as Professor and Head in 1985 & continued till 2004. She played an important role for having an in-house Ophthalmology OT at B.Y.L. Nair Charitable Hospital.
    • Mobile Ophthalmic Van was replaced with a new well equipped van in June 2004 with the donation from Lion’s club of Byculla.            
    • Later, Dr. H.L. Trivedi, Associate Professor was Ag. HOD from Aug.2004 till Sept.2005.
    • Dr. A.D. Nicholson then joined as Professor & Head from Sept. 2005 till August 2016. During her tenure major donation through LCIF was procured for upgradation of the department.
    • Currently Dr Saroj I. Sahdev, vitreo retinal specialist & Professor is heading the department from September 2016 till date. She has further upgraded the department with modern technology in both anterior and posterior segment. She has also started MUHS recognised Fellowship in Vitreoretina since 2017, the only BMC hospital offering this fellowship. She has conducted various global clinical trials as Principal Investigator. She is also a coordinator for International Council Of Ophthalmology examinations. Hospital Management Information System (HMIS) has been installed in Ophthal OPD, OT and ward during her tenure.(Dec 2018) Also, Ophthal OPD received the First prize of cleanliness Award-2019. Combined phacoemulsification with vitrectomy and endolaser machine, the first of its kind in the country, is procured by the department in January 2020.

 

 

Faculty

Sr. No.

Name

Designation

1

Dr. Saroj I. Sahdev

Professor & Head

2

Dr. Avinash B. Ingole

Associate Professor

3

Dr. Anamika H. Agrawal

Associate Professor

4

Dr. Darshana B. Rathod

Associate Professor

5

Dr. Anuja Gharat

Assistant Professor (Adhoc)

6

Dr. Twinkle Choksi

Assistant Professor

7

Dr. Bhushan Cahudhari

Assistant Professor (Contract)

 


Location

  • 2nd floor, OPD No.39, OPD Bldg, B. Y. L. Nair Ch. Hospital

Units

  • The Ophthalmology department has two working Units. The out-patient Department and Operation theatre functions on all 6 days of the week, with each clinical unit offering services on alternate days. The total bed strength is 60. The outdoor and indoor eye care services renders routine, special as well as emergency services on all days of the week. It is a renowned centre for treatment of vitreo retinal diseases.

Specialized Clinics Conducted
1) Retina
2) Squint
3) Glaucoma
4) Cornea and Contact lens
5) Pediatric Ophthalmology
6) Neuroophthalmology
7) Uveitis
8) Oculoplasty
9) School Clinic
10) ROP

Technologies & Services Available

  • Sutureless Cataract and Phacoemulsification with foldable IOLs & Phakic IOLs.
  • Vitreoretinal diseases; evaluation and treatment- Diabetic & ROP screening & 23/25 G Sutureless vitrectomy
  • Pediatric Ophthalmology & squint evaluation and treatment
  • Corneal transplant surgeries including DSEK / DALK
  • Oculoplasty and Lacrimal Surgeries
  • Glaucoma evaluation and treatment
  • Refraction: free spectacles, keratometry and contact lens fitting
  • Indirect Ophthalmoscopy, Biomicroscopy and Applanation Tonometry
  • Optical Coherence Tomography, Visual fields, Ultrasonography: A & B Scan
  • Synaptophore and Hess screen
  • Laser Surgeries: Green Laser and YAG Laser
  • Ophthalmic emergencies and eye donation calls attended 24×7

OPD / Department Timing

  • OPD – On 6 days of the week, new case papers issued from 8.00a.m. To 11.00a.m.
  • Dept. Timing – 9 to 4

Courses Offered

  • UG: MBBS
  • PG: M.S in Ophthalmology (6 MCI recognized seats)
  • Post P.G. Fellowship: FVRS- MUHS Recognised Fellowship in VitreoRetinal Surgery.                     (2 seats)

Special Activities & Equipments

  • The following advanced and Modern ophthalmic equipments are procured in Ophthalmology department through generous grant of LCIF SF1425/323-A1. by Lions Club of Byculla and though DDF and MCGM so as to carry out specialised treatment to improve visual results.

 

  • Combined Phaco & Vitrectomy with Integrated Laser with Abee Glaucoma tip for HFDS Glaucoma Surgery : First of its kind in the country.

 

 

 

  • Laser Photocoagulation Machine : for treatment of retinal diseases like diabetic retinopathy, retinal vascular disorders, macular disorders and retinal breaks etc.

  • YAG Laser Machine :  For Iridotomy ( Narrow Angle Glaucoma) & Capsulotomy (After cataract)

  • Haag Streit & Zeiss Slit Lamp With Applanation Tonometer :  for clinical examination and measurement of  Intraocular pressure (Gold standard)

 

  • Video Indirect Ophthalmoscope : for teaching fellows & Post graduate students and recording of fundus photos for research and study purpose. 

  • Non Contact Tonometer : For Non touch Intraocular Pressure assessment

  • A-Scan Biometer : Accurate calculation of intraocular lens power

 

  • Motorized OT Tables With Mayo Trolley & Attached IV Stand :  State of art operation table and chair unit for ophthalmic microsurgery.

  • Ophthalmic Microscopes With Viewing Systems :

 

  • Advanced AMO Machine : for Phacoemusification surgery

  • Autorefracrometer :  For refractive error calculation

  • Compact Ophthalmic Chair Unit : for eye examination and Refraction

  • 12. Wall Mounted Direct Ophthalmoscope, Retinoscope & Sphygmomanometer :

  • Optical Coherence Tomography : Noninvasive method for detailed examination of posterior segment (macula) disease and ONH RNFL.

  • Potential Acuity Meter :

Departmental Achievement

Surgical Advances :

  • Sutureless 23G Vitrectomy with Intraoperative Laser

 

  • Aniridia  SFIOL for Traumatic aniridia & aphakia

 

  • Refractive Surgeries Phakic IOL for higher refractive errors

  • Suprachoroidal TA injection : 1st time in BMC & Mumbai Hospitals.

 

  • Community Ophthalmic Services :

    • The community Ophthalmic services rendered to the slum population of Greater Mumbai  is through the Mobile Ophthalmic Van of our department to the Centers   at Cheeta Camp, Shivaji Nagar. Also in co-ordination with various voluntary Organisations and NGOs regular Eye check-up Camps are conducted contributing towards the National Programme for Prevention of Blindness. Regular operative sessions are also held in these Eye Camps with good visual outcome. The Mobile Ophthalmic Van Services are improvised by the installation of various portable Ophthalmic equipments within the van, all of which are donated by a number of voluntary organisations.

     

     

    Collaborative Work :

  • Eye bank : B.Y.L.Nair Hospital has an Eye Bank established in the year 1969. It is certified and registered under subsection (1) of section 24 of transplantation of Human Organ Act 1994 (42 of 1994) by Govt. of Maharashtra (Dated 29.9.98). The department plays a pivotal role in promoting eye donations & performs keratoplasties for the needy patients. We also register the cases with   Eye Bank Co-ordination and Research Centre, Haji Bacchooali Hospital , Parel  Mumbai – 12.
  • HMIS System started from December 2018
  • Clinical Research: Various National and Global clinical trials conducted such as:

            a) RAINBOW Trial in ROP babies
b) RAINBOW Extension
c) PEACHTREE Trial in uveitis
d) MAGNOLIA Trial in uveitis
e) SAPPHIRE Trial in vein occlusion
f) TOPAZ Trial in vein occlusion
g) Conjunctivitis Trial (ICMR)
h) Colour vision trial
i) NEX-PED-005 Trial in Persistent Corneal Epithelial Defects
j) Focus Trial on Diabetic Retinopathy patients
k) Xbrane Trial (ARMD)
l) QILU Trial (ARMD)

  • International Council of Ophthalmology Examinations: Conducting body for fellowship exams of ICO since September 2016. Dr. Saroj I. Sahdev, Professor and HOD is coordinator for these exams.
  • Academic activities of the department : range from undergraduate training programmes to advanced research projects, conducted to update the students and teaching   faculties.
  • Teaching of Under Graduate MBBS and Post graduate MS students.
  • Conducting MUHS recognised vitreoretina fellowship programme ( the only BMC hospital offering this fellowship)
  • The advance techniques of sutureless surgeries for cataract  ie both Phacoemulsification & Non-Phaco, small incision cataract surgery are being performed. Both help in faster post-operative visual rehabilitation of patients.
  • Sutureless vitrectomy 23/25g & other advanced surgeries such as Phakic IOL, suprachoroidal injections are also being performed.
  • The department conducts regular Workshops, Seminars, Symposia, Clinical meetings, Journal Clubs and Case presentations.

CMEs conducted :
2017:

  • BOA Symposium on : Ageing Eye – An overview  22/01/2017
  • BOA Symposium on : Complicated Eye - with International speaker 12/02/2017

2019:

  • MED Online                                                            (26/04/2019)
  • Journal Club  -       Dr. Saroj Sahdev               ( 04/05/2019)
  • Live Webinar-        Dr. Giridhar                         (22/05/2019)      (National)(From Cochin)

Topic- Decision making in management of wet AMD & what has changed in the last decade.

  • CME- Eylea Team                                                 (25/09/2019)

Topic – Role of Aflibercept in wet AMD and PCV  

  • Live Webinar –      Dr. Ashish Vaidya             (23/11/2019)     (National)

Topic- DME – Clinical perspectives and scientific evidence

2020:

  • CME & Quiz on ‘Dry eye’ (15/01/2020)
  • Live Webinar – Dr. Lee Mun Wai   (31/01/2020)      (International) (From Malaysia)

Topic- Multidimensional approach to optimize outcomes in DME

  • Neuro-ophthalmology Scientific Programme in collaboration with Department of Neurology on 26/02/2020

 

Video Seminars (Under Dr . Saroj Sahdev)

  • Retina Anatomy (under Dr Sujit Murade) on 06/05/2019
  • SOR Videos by Dr Aditya on 06/05/2019
  • Fundus Camera Imaging on 13/06/2019
  • PPV on 10/07/2019
  • AAO BCSC with IO lecture demo on 21/08/2019
  • Gonioscopy on 25/09/2019
  • Retinal Degenerations on 22.01.2020

Training Workshops conducted :
2018:

  • Photodynamic Therapy
  • PASCAL Laser
  • PHACO EYESHALA

2019:

  • ICG Angiography
  •  PASCAL Laser
  • PHACO  EYESHALA
  •  IOL Master
  • There are Publications in various recognised Journals. Members of the dept. actively participate in the local, zonal State, National and International ophthalmic academic/Scientific Workshops, advanced Courses and Conferences. This has enabled the staff and students to achieve academic excellence seen in the form of awards, merit ranks and prestigious positions secured at the National and International ophthalmic scenario.

Awards / Achievements
Gold Medal in Ophthalmology (in MBBS Part-I)

  •               Dr Krishna Agrawal               2015 batch

Gold Medal in MUHS  M.S. Ophthalmology examinations-

  •             Dr. Gargi Shah                                    2011
  •             Dr. Sasha Mansukhani                        2014
  •             Dr. Eesha Shukla                     2015
  •             Dr. Zelda Dadachanji              2017
  •             Dr. Sonia Maheshwari                        2018

Ranks in FVRS MUHS fellowship examination:

  •             Dr. Aditya Nakade                   2018                First
  •             Dr. Neelam Pahlajani             2018                Second
  •             Dr. Faraaz Hussain                  2019                First

Gold Medal in DOMS (CPS)

  •              Dr.Gargi.Shah                          Nov 2010

Others:

  • Dr. Bhavisha.Bid : 3rd rank in MS Ophthalmology (MUHS)  June 2010.
  • Dr. Shivanand Sheth, Dr. Navin Soni : 2nd & 3rd Rank in MS Ophthalmology (MUHS)  2011.
  • Dr. Kalyani Diwale , Dr. Shraddha Pawar: 2nd & 3rd Rank in MS Ophthalmology (MUHS)  2016.
  • Allergan Achievers Quiz 2009- 7 PG students from Nair selected from 100 residents in ophthalmology in all India quiz competition (MAXIMUM in comparison to any institute in India).
  • Dr. Manvi Sobti.,II yr M.S student : First prize in case presentation competition  at L V Prasad Eye Institute, Hyderabad (Eye-pep 2010).
  • Dr. Shivanand Sheth, III yr MS student : 3rd prize in Quiz  round at All India Ophthalmology Conference, Ahmedabad, 2011. 
  • Dr. Akshita Laddhad, II yr M.S student:  Special Prize in lecture presentation in iFOCUS at Hyderabad, 2019.
  • Dr. Bhagyashree Meshram, II yr M.S student: 2nd prize in case presentation in  BOA 2019.

Publications
2017:

  • Dr. Swapnil Rathod, Dr. Avinash B. Ingole, Dr. Anjali D. Nicholson, Dr. Pranay Gandhi.  Pediatric cataract surgery-outcomes and complications.  GLOBAL JOURNAL FOR RESEARCH ANALYSIS , Volume 6 | Issue 1 | January 2017 | ISSN No 2277 – 8160  | Page87-89.
  • Hussain Syed Faraaz, Ingole B. Avinash, Gharat M. Anuja, Mansukhani Sasha, Jadhav P. Anil. Thyroid Eye Disease (TED) Evolution of CAS with Time in a tertiary care setup., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH,  Volume  6 | Issue  1 | JANUARY 2017.

 

  • Navin Soni, Avinash Ingole, Faraaz Hussain, Swapnil Rathod, Aditi Agarwal. Pseudoexfoliation Syndrome (PEX): Incidence of Glaucoma, Cataract and Related Surgical Complications.  IJCMR,  Volume 4 | Issue 3 | March 2017 | 761-764.
  • Choksi T, Maheshwari S. Posterior Polar Cataract: From Basics to Advances. DOS TIMES, May- June 2017: 19-22.

 

  • Gargi S., Anamika A., Chanchal G., Anjali N. A study of the ocular manifestations in patients with Cerebrovascular Accidents. GLOBAL JOURNAL FOR RESEARCH ANALYSIS, Volume 6 | Issue 7 | July 2017. ISSN no. 2277-8160.
  • Seema Mane, Avinash Ingole, Nikunj Patel, Aditi Agarwal, Swapnil Rathod. Correlation between Automated Perimetry and Magnetic Resonance Imaging (MRI) in Neuro-Ophthalmic Disorders (Supratentorial Space Occupying Lesions). INTERNATIONAL JOURNAL OF CONTEMPORARY MEDICAL RESEARCH, Volume 4 | Issue 7 | July 2017 | Page 1595-1598.

 

  • Aditi Ghodke, Avinash Ingole, Swapnil Rathod, Amruta D. Kumbhar. Review of Surgical Outcomes in Pediatric Cataract. INTERNATIONAL JOURNAL OF CONTEMPORARY MEDICAL RESEARCH,  Volume 4 | Issue 7 | July 2017 | ICV (2015): 77.83 | 1591-1594
  • Ankita P., Anamika A. A study of visual outcomes and complications following posterior chamber Iris claw lens implantation. INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, Volume 6 | ISSUE 8 | August 2017 | ISSN No 2277 – 8179.

 

  • Saroj Indersain Sahdev, Priti Hareshkumar Nirmal, Anamika Hemant Agrawal. A Case Report On Muir-Torre Syndrome In A Male With Colon Cancer And Sebaceous Carcinoma Of  Right Upper Lid. INTERNATIONAL JOURNAL OF  OCULAR ONCOLOGY AND OCULOPLASTY ( ISSN 2455 - 8478 ) online July - September 2017 | vol 3| issue 3| pgs 233 - 235 

Saroj I Sahdev, Shraddha Sureka, Rohan Agashe . Intravesical Bacillus Calmette–Guérin Therapy for Bladder Carcinoma causing Bilateral Ocular Inflammation. INTERNATIONAL JOURNAL OF EDUCATION AND RESEARCH IN HEALTH SCIENCES ( ISSN 2455 - 555X) (eISSN 2455 - 2410)  Oct - Nov 2017  |vol 3 |issue 4 |pgs 234 -235

 

 

 

2018:

  • Dr. Saroj I. Sahdev, Dr. Neelam H. Pahlajani, Dr. Gaurav S. Atal. Choroidal Metastases as initial manifestation of lung carcinoma : A rare case.  IJSR, Volume 7 | Issue 8 | August 2018.

 

2019:

  • Dr. Faraaz, Dr. Sahdev. Post-partum Bilateral Optic Neuropathy and Choroidal Involvement without Eclampsia: A Diagnostic Dilemma. DOS TIMES; Year: 2019, Volume:  25,  Issue Number:  3, Page: 51-54.

2020:

  • Dr. Pendhari, Dr. Sedamkar, Dr. Sahdev, Dr. Ingole. Recoloring of visual multimedia using matlab to aid color vision deficient individuals. Intelligent Decision Technologies, vol. 14, no. 1, pp. 81-100, 2020.
  • Dr. Sahdev, Dr. Afzal. Highlighting a case of Lipaemia Retinalis in Young Diabetic, with undetected Hypercholesterolaemia. Dos times; Volume: 25, Number 5, March-April 2020, Page No. 34-37.