Departments That We Provide

Clinical Examination and Investigation

The department provides a wide range of pre-operative and diagnostic assessments, including:

1. Visual Acuity Testing – baseline and best-corrected visual acuity.
2. Slit Lamp Examination – anterior segment evaluation and cataract grading.
3. Tonometry – intraocular pressure measurement to rule out glaucoma.
4. Dilated Fundus Examination – retinal and optic nerve assessment pre-surgery.
5. Keratometry – corneal curvature measurement for IOL power calculation.
6. A-Scan Biometry / Optical Biometry – axial length measurement for intraocular lens (IOL) power determination.
7. B-Scan Ultrasonography – evaluation of posterior segment in mature, dense, or complicated cataracts.
8. Anterior Segment Photography – for documentation and monitoring.
9. Systemic Investigations – blood sugar, blood pressure, and relevant systemic screening for safe surgery.

Procedures

The Cataract Department offers state-of-the-art cataract treatment procedures:

1. Phacoemulsification Surgery – sutureless, small-incision cataract extraction with foldable IOL implantation.
2. Manual Small Incision Cataract Surgery (MSICS) – economical and effective technique, particularly in high-volume cases.
3. Extracapsular Cataract Extraction (ECCE) – for advanced or complicated cataracts.
4. Secondary IOL Implantation – for aphakia management.
5. YAG Laser Capsulotomy – for posterior capsular opacification (PCO).
6. Pediatric Cataract Surgery – including lensectomy, IOL implantation, and amblyopia management.
7. Combined Surgery – cataract with glaucoma (phaco + trabeculectomy) or cataract with vitrectomy when needed.

Surgical Services

The department is equipped to handle routine, complex, and referral cases with specialized surgical care:

1. Day-care Cataract Surgery – enabling rapid recovery and early discharge.
2. Micro-incision Cataract Surgery (MICS) – advanced technique with minimal wound size.
3. Premium IOL Services – toric, multifocal, and aspheric IOLs for refractive correction.
4. Complicated Cataract Management – trauma-related cataracts, subluxated lens, and cataracts with uveitis.
5. Anterior Vitrectomy – in cases of posterior capsule rupture.
6. Pediatric Cataract Surgical Services – specialized care with general anesthesia and postoperative visual rehabilitation.
7. Refractive Cataract Surgery – cataract surgery combined with spectacle independence solutions.

Cataract Services – Treatment Plans & Strategies

The Cataract Department at NIOH adopts a comprehensive and inclusive approach for cataract management across all age groups:

• Community Outreach & Screening: Organizing cataract detection camps and referral programs for rural and underserved populations.
• Early Detection Programs: Routine eye screening for elderly and diabetic patients.
• Customized Surgical Planning: Individualized IOL selection and surgical technique based on patient needs and systemic health.
• Postoperative Rehabilitation: Vision correction, amblyopia therapy (for children), and low-vision support if required.
• Training & Capacity Building: Training ophthalmology residents and surgeons in modern cataract techniques (Phaco, MSICS).
• Research & Development: Participation in national programs for blindness prevention and innovation in surgical techniques.
• Affordable & Accessible Care: Providing free or subsidized surgeries under national blindness prevention initiatives.