Our Specialty

Cataract Surgery

Cataract surgery, also called lens replacement surgery, is the removal of the natural lens of the eye that has developed an opacification, which is referred to as a cataract, and its replacement with an intraocular lens. Glued IOL: It is a technique where the intraocular lens is placed in the normal anatomical position by using glue when the capsular support is not there to place it, thereby bringing back the optics of the eye to normal.
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Types of IOLs


Monofocal IOLs are standard lenses used in cataract surgery. One of the major disadvantages of these conventional IOLs is that they can only be focused for one particular distance – either optical infinity (rendering the eye emmetropic) or a fixed finite distance (rendering the eye myopic). Patients who undergo a standard IOL implantation no longer experience clouding from cataracts, but they are unable to accommodate (change focus from near to far, far to near, and to distances in between). This is not a concern for most cataract surgeries, as they are primarily performed on elderly people that are already completely presbyopic. However, it can be a problem for patients that are not yet presbyopic (or are in the early stages of presbyopia) undergoing refractive lens exchange for the sake of correcting refractive errors.


Multifocal IOLs attempt to provide simultaneous viewing of distance vision and near vision. Trifocal IOLs can provide intermediate vision.Many multifocal IOL designs attempt to achieve this simultaneous viewing focus using a concentric ring design, which alternates distance and near focal points. However, many concentric ring multifocal lenses used today are prone to glare and mildly compromised focus at all ranges of vision.


A toric IOL is a type of toric lens used to correct preexisting corneal astigmatism at the time of cataract surgery.

Multifocal toric

Standard toric IOLs are monofocal, permanently focused on distant objects. Multifocal toric IOLs are also available. These lenses provide the patient not only with correction of preexisting astigmatism, but also with multiple-focused vision at far and reading distance.

Phakic IOL

Phakic IOLs (PIOLs) are intraocular lenses which are placed in an eye that still contains a natural human crystalline lens. PIOLs are sometimes referred to as an ‘implantable contact lenses’ (ICLs). As with other IOLs, PIOLs can be either spheric or toric. Toric PIOLs have to be aligned with the meridian of astigmatism; toric IOL misalignment or rotation can lead to residual or even greater astigmatism postoperatively.


LASIK or Lasik, commonly referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism. The first laser vision correction was performed in Germany in the late 80s, and since then, there’ve been major advancements that have improved the quality of the surgery in terms of safety and precision.

Laser Vision Correction – Get rid of your glasses

Laser vision correction is by far the best option to eliminate the dependency on glasses and contact lenses. The shape of your cornea attributes to your eye power. You could have myopia (short-sight), hypermetropia (long-sight) or astigmatism (blurry vision) depending on the point where the light from an object you see gets focussed inside your eyes. During a laser vision correction surgery, the shape of your cornea is altered in such a way that light entering into the eye is focused at the right spot on the retina. This is a simple procedure and takes less than half an hour from start to finish. Also, you’ll be able to resume your normal life in just a few days.

Laser Vision Correction – Options

Laser vision correction has evolved rapidly over the last twenty years. LASIK is the most popular refractive error correction surgery and can rectify a power of -1D to -9D in myopia patients and up to +4D in hypermetropia patients. In LASIK, a motorized blade is used to create a flap of the first two layers of the cornea, and a computer-controlled laser is used to reshape the inner layers. Intralase is a blade-free approach where a specialized laser is used to create this flap and then reshape it. ReLEx SMILE has come in as the next advancement and is bladeless and flapless with much faster recovery.

Laser Vision Correction at Shree Ram Netralaya

Laser vision correction is performed as a day-care surgery, and the patient can resume to normalcy in very little time. There’s an expert team of doctors that undergo special training to perform the procedure in the most skilful way. Patients that want to undergo laser vision correction are counselled pre and post-operation so that they can anticipate and appreciate the outcome of the procedure opted for.

Glaucoma Drainage Device implant

Glaucoma drainage devices are designed to divert aqueous humor from the anterior chamber to an external reservoir, where a fibrous capsule forms about 4-6 weeks after surgery and regulates flow.
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Glaucoma drainage devices are designed to divert aqueous humor from the anterior chamber to an external reservoir, where a fibrous capsule forms about 4-6 weeks after surgery and regulates flow. These devices have shown success in controlling intraocular pressure (IOP) in eyes with previously failed trabeculectomy and in eyes with insufficient conjunctiva because of scarring from prior surgical procedures or injuries. They also have demonstrated success in complicated glaucomas, such as uveitic glaucoma, neovascular glaucoma, and pediatric and developmental glaucomas, among others.

Glued IOL

The glued IOL technique consists of making two partial thickness scleral flaps exactly 180° apart approximately 2.5 mm by 2.5 mm followed by a sclerotomy with a 20-gauge needle 1 mm from the limbus. The scleral flaps are then glued back into place using biological glue.

Corneal Collagen Cross-Linking

Corneal Collagen Cross-Linking with Riboflavin (abbreviated as C3R) is a non-invasive corneal treatment shown to slow the progression of keratoconus. It does so by increasing the strength of corneal tissue.


Oculoplasty is a term that covers a variety of procedures that involve eyelids, eyebrows, orbits, tears ducts, and the face. Oculoplastic procedures involve both medically necessary procedures and cosmetic procedures.
The scope of Oculoplasty extends across a wide range of procedures from correcting droopy eyelids to fitting artificial eye prosthesis. Oculoplastic surgeries are carried out by specially trained surgeons and are often highly customised, based on the patient’s condition. Oculoplasty is often referred as both an art and a science that can help improve the function, comfort, and aesthetic appearance of the face.

Corneal Transplantation

A corneal transplant involves surgically removing the patient’s diseased cornea and replacing it with a donated corneal tissue. This improves the vision in conditions where blurring is due a corneal pathology generally after trauma, after infection and congenital or genetic corneal disorders. After eye donation cornea is removed from the donor eye ball and used during cornea transplantation

Phakic IOL Implant

Phakic intraocular lenses, or phakic lenses, are lenses made of plastic or silicone that are implanted into the eye permanently to reduce a person’s need for glasses or contact lenses. Phakic refers to the fact that the lens is implanted into the eye without removing the eye’s natural lens


Trabeculectomy can be done with Mitomycin C and even with Ologen implant. Trabeculectomy with Mitomycin C: It involves removing part of the eye-drainage tubes to allow fluid to drain more easily. Glaucoma surgery may be carried out under local anaesthetic (while you’re awake) or general anaesthetic
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Photorefractive Keratectomy (PRK)

Photorefractive keratectomy (PRK) is a type of refractive laser surgery that reshapes the cornea to correct myopia (short-sightedness), hyperopia (farsightedness and astigmatism (unevenly curved cornea). It helps in decreasing or eliminating the dependency on glasses or contact lenses. The goal of refractive surgery is to allow less dependency on glasses and contact lenses rather than achieve the complete absence of refractive error.


Pre Descemet’s Endothelial Keratoplasty is a partial thickness corneal transplant. The diseased endothelial cells are removed from the patient’s eye and selectively replaced with a new layer of endothelial cells which are taken from the donated eye. The endothelial cells are the healthy cells lining the back of the cornea which pump fluid from the cornea to prevent the cornea swelling. The normal endothelial count is 2000 – 3000 cells/mm2. When the cells decrease in number < 500 cells/mm2, corneal decompensation occurs, clarity of the cornea reduces and eventually the vision becomes cloudy.

Refractive Surgery

Refractive surgery is a surgical procedure performed to correct the refractive error (spectacle power) of the eye. It is usually done to get rid of or reduce dependence on glasses and contact lens. It can be performed in a patient with stable refraction (glass power) after the age of 18 – 21 years.
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Black Fungus Treatment & Diagnosis

Black fungus diagnosis is challenging because the symptoms are common to several other conditions.. The process of black fungal disease treatment is teamwork involving an ENT (Ear, nose, throat) specialist, ophthalmologist, neurologist and radiologist. It’s diagnosis hence involves a detailed patient history, a thorough clinical evaluation, and a variety of specialised tests. A diagnosis is made by identifying the mold in the affected tissue by fungal culture. It is important to diagnose this condition as early as possible for a better prognosis.


A vitrectomy is a surgical procedure undertaken by a specialist where the vitreous humor gel that fills the eye cavity is cleared to provide better access to the retina.
The vitreous humor serves as a framework or support for the eye. In normal eyes, the vitreous is crystal clear and fills the eye from behind the iris and lens till the optic nerve. This area comprises two-thirds of the volume of the eye and is called the vitreous cavity. The vitreous cavity lies in front of the retina and choroid.
Removal of this vitreous allows for the ease of a variety of retinal procedures.


Cryopexy is a treatment that uses intense cold therapy or freezing to treat certain retinal conditions. Retinal tears to prevent retinal detachment, to seal leaking blood vessels, to slow or stop the growth of abnormal blood vessels caused by diabetic retinopathy can be treated with cryopexy.

Pneumatic Retinopexy (PR)

Pneumatic Retinopexy (PR) is one of the treatment options available for retinal detachment (RD). In this procedure, the surgeon injects a long-acting expandable gas bubble to seal the retinal break. The advantage of this procedure is that it is a very quick, minimally invasive procedure unlike other surgical treatment modalities for RD. But the success rate of the procedure is relatively less (60-70%). If the RD is not settling, extensive surgery (like pars plana vitrectomy or scleral buckling) might be required.

Implantable Collamer Lens (ICL)

EVO ICL, also known as the Implantable Collamer Lens, is a type of refractive procedure to help correct the most common visual problem, myopia. Simply put, EVO ICL is a removable lens implant that is an attractive alternative to LASIK and other refractive procedures.