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Aditya Jyot Eye Hospital – 1st Private Hospital in India to acquire Alcon Constellation Vision System
30th March, 2010, Mumbai: Aditya Jyot is a centre for total eye care established in 1990 and is the Biggest Eye Hospital in Mumbai. It ensures high quality eye treatments for all the patients and is one of the pioneers for introducing the latest technologies for eye care in India. Aditya Jyot eye hospital is the 1st private hospital in India to acquire the Constellation Vision System, the Alcon CONSTELLATION® Vision System establishes a new standard of surgical control.
Some USP’s of ALCON are as follows:
? Faster Surgery and Less Traumatic
? Safer
? Eyes Heal Faster
? Regain Vision Faster
? Less post-operative inflammation
? Rapid recovery
? Less patient discomfort
About Vitreous
The vitreous is a normally clear, gel-like substance that fills the center of the eye. It makes up approximately 2/3 of the eye's volume, giving it form and shape before birth. Certain problems affecting the back of the eye may require a vitrectomy, or surgical removal of the vitreous. After a vitrectomy, the vitreous is replaced as the eye secretes aqueous and nutritive fluids.
Why do we need vitrectomy surgery?A vitrectomy may be performed to clear blood and debris from the eye, to remove scar tissue, or to alleviate traction on the retina. Blood, inflammatory cells, debris, and scar tissue obscure light as it passes through the eye to the retina, resulting in blurred vision. The vitreous is also removed if it is pulling or tugging the retina from its normal position.
Some of the most common eye conditions that require vitrectomy include:
• Complications from diabetic retinopathy such as retinal detachment or bleeding
• Macular hole
• Retinal detachment
• Pre-retinal membrane fibrosis
• Bleeding inside the eye (vitreous hemorrhage)
• Injury or infection
• Certain problems related to previous eye surge
How is the surgery performed?
The retinal surgeon performs the procedure through a microscope and special lenses designed to provide a clear image of the back of the eye. Several tiny incisions just a few millimeters in length are made on the sclera (a dense, white, fibrous membrane that, with the cornea, forms the external covering of the eyeball.). The retinal surgeon inserts microsurgical instruments through the incisions such as:
• Fiber optic light source to illuminate inside the eye• Infusion line to maintain the eye's shape during surgery
• Instruments to cut and remove the vitreous.
Vitrectomy is often performed in conjunction with other procedures such as retinal detachment repair, macular hole surgery, and macular membrane peel. The length of the surgery depends on whether additional procedures are required and the overall health of the eye.
ALCON system VS Conventional Vitrectomy
? The ALCON is with Suture less Vitrectomy for minimally invasive vitreo retinal surgery.
? It is the latest and most advanced vitrectomy system in the world.
? Constellation has the highest cut rate of 5000 cuts per minute for cutting the vitreous as compared to a maximum of 2500 in other machines.
? It has better intraocular pressure control during surgery which makes it safer and reduces chances of post operative cystoids macular edema.
? Also it uses Xenon illumination which increases the visibility during surgery
Suture-less Vitrectomy is required:
• To clear the intervening media , if there is blood or membranes that prevent the passage of light
• To relieve traction (pull) on the retina
• To reattach a detached retina
• To remove tissue and foreign material
• To obtain vitreous for biopsy
• To approach the retina for treating different retinal pathologies
Case-Study:
9-yr girl with Cataract & Retinal Detachment treated by efficient doctors of AJEH
9 year old Aparna Gaikwad who had Cataract in both her eyes and retinal detachment in her right eye was treated by Aditya Jyot Eye Hospital’s Dr. Natarajan. The little girl appeared to be an anemic as well and hence, the surgery was postponed many times. Aparna’s mother Anita Tiwari is a poor widow with 3 young daughters who works as a maid in many houses to sustain her family. Anita had taken her daughter Aparna to a number of doctors; but they never got the right response nor the confidence or assurance for the treatment. They were quickly losing hope to get treatment and Aparna’s vision. Anita spent sleepless nights, crying and worrying whether she will ever be able to help her child.
That was when Dr. Natarajan entered in their life and not only did he agree to do the treatment for free; but he also assured them and made them feel confident to go on with the treatment. AJEH’s entire staff was very kind and helpful. Considering Anita Tiwari’s poor financial conditions Aditya Jyot Eye Hospital’s doctors evaluated Aparna with all previous reports and a detail free eye check up.
The surgery was a success and Arpana has got her vision back. For Aparna and her mother Anita Dr. Natarajan is like a Savior, an angel. To express her gratitude for Dr. Natarajan Anita said “I cannot express in words how grateful I am to Dr. Natrajan and his entire team. Before I met him, I was running from pillar to post, trying to find a treatment for my daughter’s condition. . He not only readily agreed to perform the surgery; but also never took a single paisa for the same. His reassuring words and the successful surgery has not only given vision to Aparna; it has given me a new life as well. Every time I see Aparna smile, I thank God and I thank Dr. Natarajan. If it wasn’t for Dr. Natrajan and his kind and caring staff, I don’t know what would have happened to Aparna. I thank him for everything. I am forever indebted to him.”
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