Cornea

The Cornea Department at Bombay City Eye Institute & Research Centre is a centre dedicated to the management of corneal and ocular surface disorders.

The department consists of well-trained corneal surgeons and is fully equipped with instrumentation and technology to provide state-of-the-art care for patients suffering from a wide variety of corneal disorders.

The department has an elaborate academic and surgical training programmed for post-graduate students and general ophthalmology fellow.


Clinical Profile

The department caters to the efficient diagnosis and management of a wide range of diseases:

  • Congential and hereditary corneal disorders
  • Corneal infections
  • Allergic eye diseases
  • Corneal dystrophies
    Corneal dystrophies are inherited conditions where patients develop bilateral and symmetrical corneal opacities commonly involving the central cornea. This condition can cause a decrease in vision, as well as symptoms of irritation and watering
  • Keratoconus and other corneal degenerations
    Keratoconus is a degenerative disorder of the eye in which structural changes within the cornea cause it to thin and change to a more conical shape than its normal gradual curve.
  • Ocular surface disorders
    A 'dry eye' is a condition where patients suffer from irritation and discomfort in the eye because of the decreased quantity of tears or increased evaporation of tears from the eye.
  • Stevens Johnson's syndrome
  • Ocular surface tumors

Surgeries

The department offers most recent advances in the field of corneal surgery which include:

Penetratingkeratoplasty

Optical, tectonic and therapeutic

Corneal Transplant

The cornea is the front, outermost layer of the eye. Just as a window lets light into a room, the cornea lets light into the eye. It also focuses the light passing through it to make images clear and sharp.

Corneal problems can occur in anyone regardless of age. Sometimes due to disease, injury or infection the cornea becomes cloudy or warped. A damaged cornea, like a frosted or misshapen windowpane, distorts light as it enters the eye. This not only causes distortion in vision, it may also cause pain.

When there is no other remedy, doctors advise a corneal transplant. In this procedure an ophthalmologist surgically replaces the diseased cornea with a healthy one to restore clear vision.

Lamellar corneal surgeries

Including Deep Anterior Lamellar Keratoplasty (DALK), Deep Lamellar Endothelial Keratoplasty (DLEK) and Descemet's Stripping EndoKeratoplasty (DSEK), Automated Lamellar Therapeutic Keratoplasty (ALTK)

Refractive corneal surgery

Refractive surgery offers the state of art facility for various laser refractive procedures like LASIK, Epi-LASIK, PRK and Wavefront guided customized ablation

Ocular surface reconstruction surgeries


Recent Advances

Customized laser refractive surgery

A strategy to correct not only the refractive error but also the other optical imperfections of the eye, known as aberrations.

Collagen cross linking for keratoconus

A new modality for arresting progression of keratoconus by strengthening the corneal collagen fibres, involving the use of UV-Light and Riboflavin.

Lamellar corneal surgeries using ALTK system

Diseased layer of the cornea can be selectively removed using the ‘state-of-art’ ALTK system. This makes the surgery safer and more predictable.

Facilities & Diagnostic Services

CornealTopography

Evaluates shape and power of corneal surface.

Pachymetry

Measurement of corneal thickness

Aberrometry

Measures the optical aberrations of the eyeball

Anterior segment digital photography


Specialized Contact lens fitting

Specialized Contact lens fitting for irregular cornea, keratoconus and for therapeutic purposes



Research & Teaching activities

Postgraduate Teaching

Aims at providing an in-depth knowledge of various corneal disorders and diagnostic procedures to the postgraduate students.
Major ongoing research projects are:

  • Evaluation of role of collagen cross linking in keratoconus.
  • Effect of pterygium excision on corneal astigmatism
  • Rose K contact lens in keratoconus
  • Evaluation of outcome of therapeutic keratoplasty