Narang Eye care & laser Center

EYES WITH PREVIOUS RADIAL KERATOTOMY – Some patients present with Radial keratotomy marks on the cornea surface. Radial keratotomy was the preferred mode of glasses removal in early 90’s. This procedure is currently not performed by surgeons because it decreases the strength of cornea as the cuts on the cornea are prone to open during cataract surgery. An expert surgeon is needed to handle these complex cases. At Narang Eye Care & Laser Center, these cases are effectively handled with good results.

GLUED IOL / YAMANE METHOD – In complicated cases where an intraocular lens cannot be placed in the eye, the eyes are fixed with secondary IOL fixation with Glued IOL at Narang Eye Care. The lens is placed in position and glued to the eye. Dr. Priya Narang is a world-renowned surgeon in handling these complicated cases.

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THE ONLY CERTIFIED CENTRE IN WESTERN INDIA OFFERING THIS INNOVATIVE NEW TECHNIQUE

GLUED IOL which is a revolutionary method of implanting an intra-ocular lens (IOL) in patients who had a previous complicated cataract surgery. Its an advanced technique, quite ahead of all the contemporaries which are available at present. The lens is fixed in its normal position with the help of Tissue Glue (Gum). This technique is very beneficial in children with dislocated or subluxated lenses which may be due to a congenital disorder or in adults due to traumatic dislocation of the normal lens. In complicated cases, the older techniques used sutures to fix an IOL which degrades and loosens with time and eventually leads to complication. In this technique Glue (gum) made from human serum is used to seal the flaps after tucking the lens. The post-operative results are very good and the patient rehabilitation is very fast. This method has been widely accepted and appreciated worldwide.

A 15 year old boy who had cataract since birth was operated at the age of 6 months elsewhere for cataract but the lens was not implanted as it was a complicated case. As a result of this the child had to wear thick glasses and his peripheral vision was compromised. The child was referred to us and Glued IOL was done in both the eyes. Today the child is virtually spectacle free and is leading a normal life. Similarly, a 10 year old girl who had congenitally dislocated lens in both the eyes was referred. The girl has been operated upon one eye at our centre and is due to undergo surgery for the other eye shortly. The patient satisfaction is so much that her parents can’t stop blessing the entire staff of the hospital.

ADVANTAGES :

1. Its applicable in all complicated cases with virtually no contraindication.

2. It can be done in cases of congenital anomalies (esp. in children) also where the normal lens is not present in its original position. The normal dislocated lens is removed and artificial lens is then fixed.

3. Its applicable in traumatic cases also following an injury to the eye.

4. No sutures are taken in this technique and the lens is fixed with HUMAN TISSUE GLUE (which is available commercially in the market).

5. Early post-operative rehabilitation & good vision are the advantages with this technique.

ENDOCAPSULAR RINGS AND SEGMENTS IMPLANTATION – Eyes with weak support of the layer that holds the lens in its place, are supported by endocapsular rings so that safe surgery can be performed for the patient.

GORTEX SUTURE FIXATION OF THE CAPSULAR BAG – In complex cases with capsular bag dislocation, the bag can be fixed back to the eye wall with Gortex sutures.

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