Vol 1, Issue 3 - Shroff Eye Centre

A V I S I O N O F E X C E L L E N C E
EDITORIAL BOARD
Advisory Board
Dr. Noshir M. Shroff
Director
Dr. Cyrus M. Shroff
Director
Prof. A. K. Gupta
Director Academic
Prof. J. C. Das
Senior Consultant
Dr. V. P. Thakral
Medical Superintendent
Chief Editor
Dr. Deepender Chauhan
Editors
Dr. Gurpreet Singh
Dr. Shishir Narain
Dr. Ranjan Dutta
Dr. Daraius Shroff
Editorial Board
Dr. A. K. Singh
Dr. Ajay Agarwal
Dr. Archana Koul
Dr. Bhavana Sharma
Dr. Charu Gupta
Dr. Dariel Mathur
Dr. Maneesh Kumar
Dr. Neelam Atri
Dr. Preeti Kumar
Dr. Ritu Chaudhuri
Dr. Shalini Verma
Dr. Shalini Tyagi
Dr. Sharad Rohtagi
Dr. Simple Babra
Dr. Saswat Ray
Dr. Satya Karna
Dr. Soma Talukdar
Dr. Sunaina Arora
Dr. Vinita Jain
Dr. V. K. Pandey
Vol-1 Issue-3 Quarterly News Letter July - September 2010
For private circulation to medical persons only
Dear friends
EDITORIAL
rd
We are proud to present to you the 3 edition of our newsletter 'Nayan'. A lot has been
achieved since the last newsletter was published.
We are very pleased to announce the opening of our new venture at Pushpanjali
Crosslays Hospital, a 400 bedded multispecialty hospital in Ghaziabad, NCR. The new
th
centre was inaugurated on 16 August. It features a comprehensive diagnostic and
treatment facility for all ophthalmic conditions.
We have also started an exclusive tie up for retinal services at Asian institute of medical
sciences in Faridabad. The team of retina specialists will cater to all spectrums of
retinal diseases of patients coming to Asian institute of medical sciences. We are also
participating in ROP diagnosis treatment in close association with major hospitals in
Delhi and NCR like Mata Chanan Devi Hospital and Pushpanjali Crosslays Hospital.
Our academic highlights were an invitation by the National Board of Examinations to
prepare teaching modules for ophthalmology DNB program. Cataract, cornea and
vitreo-retina modules have already been telecast live on national television under the
aegis of the IGNOU DNB program. The next module on Glaucoma will be telecast in
October.
We also presented our various clinical and research papers at prestigious international
conferences of the European society of cataract and refractive surgery (ESCRS) in
Paris as well as at the Asia Pacific academy of Ophthalmolgy (APAO) at Beijing.
To further add to the world class vitreo-retina surgery setup that we have, the
Constellation vision system-the latest vitreous surgery system in the world has been
installed at SEC.
The Carl Zeiss Lumera 700, which is latest state of the art operating microscope with
'resight inverting system' has also been installed at SEC this microscope offers
unparralled optical clarity and is excellent for both anterior as well as posterior segment
surgeries.
As we humbly share our achievements with you through this issue of Nayan, it will be a
privilege to get your valued responses and suggestions to us in our quest for a 'vision of
excellence'.
Dr. Deepender Chauhan

NAYAN SEC A Quarterly News Letter
((
The technology for safe vitreous surgery
has evolved rapidly since Machemer
introduced the first commercial
vitrectomy system in 1972.
In the fall of 2008, Alcon surgical
launched the CONSTELLATION vision
system.
The new system boasts of several
advantages and advances over conventional vitrectomy systems.
It can be used for conventional 20 Gauge as well as latest 23 and
25 gauge vitrectomies.
DUTY CYCLE- in the past surgeons had control over 2
surgical parameters: cut rate and vacuum. Surgeons could
not determine the duration for which the vitrectomy port
would remain open or closed. Now this too is possible. The
constellation system has 3 duty cycle setting options:
Shave- a closed bias mode where the port is closed a
majority of the time.
Core-an open bias mode, where it is open most of the
time.
50-50 cycle.
Thus with the closed priority cycle, the probe is closed
between each cut and flow is absent, hence cutting on the
retinal surface can be very controlled making retinal
surgery safer and more controlled.
The ULTRAVIT PROBE used with the Constellation vision
system is an advanced pneumatic dual drive guillotine
cutter.
Key Features
®
CONSTELLATION VISION SYSTEM
by Dr. Cyrus M. Shroff & Dr. Daraius N. Shroff
Fluidics:
• Vacuum Control 650mmHg
• Flow Control
• Auto Infusion & IOP Control
• Automated F/AX
Pneumatics:
• UltraVit® Probe 5000cpm
• Auto-Gas Filling
• VFC Inject/Extrusion
• Pneumatic Scissors/Forceps
Illumination
• Dual Port Xenon
Laser
• PUREPOINT
Primary
Footswitch
This newer design allows a higher
cutting rate of 5000cpm (double
the fastest cut rate of 2500 cpm
previously achievable), which
minimizes tissue traction even
further without compromising on
flow.
Vol-1 Issue-3
IOP CONTROL Integrated
pressurized infusion and servo control of intraocular
pressure is a unique and invaluable feature. IOP control
reduces sudden hypotony intraoperatively.
This control would enable lower average infusion
pressures, which make it safer in patients with
compromised optic nerves and diabetics.
IMPROVED FLUIDICS: a sensor is provided that
measures infusion fluid flow through the cassette and on
delivery to the patient.
Automated safeguards built into the system prevent
excessive flow rates during cutting and extrusion, there by
reducing the occurrence of a soft eye during surgery.
ILLUMINATION- The system includes 2 dual- port xenon
illumination sources. It uses mirrors rather than beam
splitting to deliver light through the system's illumination
ports.
The illumination provided with the xenon source is far
superior to the traditional halogen light source.
To conclude the CONSTELLATION vision system offers many
new and innovative additions to current vitreous surgery
techniques. These advantages should lead to better surgical
techniques and safer vitrectomy, leading to better results for
patients.

NAYAN SEC A Quarterly News Letter
((
SHROFF EYE CENTRE INAUGURATED AT PUSHPANJALI CROSSLAY HOSPITAL
Shroff Eye Centre is one of the leading eye centres of the country,
based in Delhi, offering state-of-the-art modern diagnostic,
therapeutic, and rehabilitative services of the highest quality in all
subspecialties of ophthalmology. Recognized as a premier eye
care service provider, the centre is empanelled with various
national and international organizations and leading health
insurance companies. A firm commitment to quality is at the heart of
all services provided at Shroff Eye Centre. Every doctor and staff
member is committed to providing personal attention and the most
advanced medical care to every person who comes to the Centre.
We are pleased to announce the opening of Shroff Eye Centre at
Pushpanjali Crosslay Hospital, Ghaziabad, Uttar Pradesh.
Strategically located on the NH 24, Pushpanjali Crosslay Hospital
is conveniently accessible to people from NCR Delhi, West Uttar
Pradesh and Uttarakhand.
Shroff Eye Centre at Pushpanjali Crosslay Hospital is a tertiary eye
care facility. Being attached with a multi-specialty hospital, it offers
virtually all medical specialties and 24-hour trauma facilities
including emergency operation theatre to deal with any ocular
emergency without any delay. Shroff Eye Centre provides various
specialized facilities in all fields of ophthalmology which include
state-of-the-art micro-incision sutureless cataract surgery
(Phacoemulsification), Laser vision correction of refractive errors
(Myopia, Hypermetropia and Astigmatism), cornea services which
include corneal transplantation and Corneal Collagen Cross-
Vol-1 Issue-3
linking with Riboflavin (C3R). The retina and vitreous department is
fully equipped with optical coherence tomography (OCT),
Flourescein angiography and Green Laser facilities. We have also
installed latest Visual Field Analyzer and YAG Laser systems thus
providing complete glaucoma services.
Faculty at SEC, Pushpanjali Crosslay Hospital:
Dr Darius Shroff (Vitreo-retinal)
MS, FMRF (Fellowship in Retina & Vitreous), FRCS
(Glasgow)
Dr Deepender Chauhan (Cataract, Cornea and Refractive
surgery)
MS, DNB, FLVPEI (Fellowship in Cornea, LASIK and
Cataract surgery), FRCS (Glasgow)
Dr Deepak Pandita (Cataract and General Ophthalmology)
MBBS, MS, FREC (Fellowship in Cataract surgery)
Dr Pawan Johri (Cataract and Medical Retina)
MBBS, MS
Dr Ritu Chaudhary (Glaucoma Specialist)
MBBS, MS, DNB
Dr Shalini Gupta (Cataract and General
ophthalmology)
MBBS, MS
Dr Simple Babra (Medical Retina)
MBBS, DO, DNB, FRF (Fellowship in Retina & Vitreous)
at

NAYAN SEC A Quarterly News Letter Vol-1 Issue-3
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ACADEMIC ACHIEVEMENTS OVER THE LAST QUARTER
ESCRS Presentations at Paris, France 4-8 September 2010
1. Management of moderate and severe corneal astigmatism with AcrySof Toric intraocular lens implantation – our experience.
Noshir Shroff, Ranjan Dutta, Archana Koul, Javed H. Farooqui.
2. Newer Phacoemulsification Technologies in varying grades of cataract: Ozil IP Torsional Ultrasound versus Ellips Transversal
Ultrasound - Noshir Shroff, Ranjan Dutta, Archana Koul.
3. Retrospective Analysis of 183 eyes with thin corneas that underwent corneal collagen cross-linking with UVA irradiation and
Hypo-osmolar Riboflavin - Dariel Mathur, Ranjan Dutta, Noshir Shroff.\
4. A Retrospective Analysis and comparison of Femtosecond LASIK using Wavefront-guided Treatments with and without Iris
Registration in 640 eyes - Dariel Mathur, Noshir Shroff, Ranjan Dutta.
Asia Pacific Academy of Ophthalmology congress at Beijing , 16-20 September.
1. Current treatment protocols for Age related macular degeneration. - Dr Cyrus Shroff
SN ARVO conference at Sankara Nethralaya, Chennai 7-9 September 2010
1. Surgical Nuances of diabetic vitrectomy - Dr Cyrus Shroff
DOS Times Articles
1. Current Perspectives in new Endothelial Keratoplasty Procedures: DSAEK and DMEK - Deepender Chauhan, Dariel Mathur.
2. Pre-operative Evaluation for LASIK - Ranjan Dutta, Dariel Mathur, Yamini Kaushal.
A V I S I O N O F E X C E L L E N C E
(ISO 9001:2008 CERTIFIED)
Fax: 011-2923-7425, 2924-4736 E-mail : shroffey@ndf.vsnl.net.in
www.shroffeyecentre.com / www.shroffeye.in
Nayan Quiz
A 24 year old patient presented with progressive change in glasses power. He was using RGP lenses but had poor compliance. He
underwent corneal collagen crosslinkage with riboflavin followed by another corneal procedure. The schiempflug image of the cornea is
shown here. Pentacam shows overall flatening of anterior corneal surface. Can you tell the second corneal procedure that has lead to
flattening of cornea by more than 6D? What are other indications of this procedure.
Please email your answers to
nayan@shroffeye.in, before
10.11.10. “The name of the
lucky winner would be
announced in the next issue
of NAYAN and would be
eligible for a special prize!!”
• A9, Kailash Colony, New Delhi 110048 Tel: 011-41633999, 29231296, 29233266
• 105, Surya Kiran, 19, K.G. Marg, New Delhi 110001 Tel: 011-23313383, 23326900
• 110 Commercial Plaza, Radisson Suites, B-Block, Sushant Lok, Phase-I, Gurgaon 122002
Tel: +91 124 470999, +91 9971156869
• Shroff Eye Centre at Pushpanjali Crosslay Hospital, W-3, Sector-1
Vaishali, Ghaziabad NCR U.P. - 201 012 Tel: +91 120 4188000, +91 9910036214
Regd. No. F. 2 (N/24) Press/2009
Owner/Publisher/Printer : Dr. Noshir M. Shroff
Publishing From : Shroff Eye Centre
A-9, Kailash Colony, New Delhi
Printed at : K.B. Offset
S-92, Okhla Indl. Area Phase-II, New Delhi
Editor : Dr. Sumit Monga
G-5/3-4, 1st Floor, Malviya Nagar, New Delhi
Write to us at nayan@shroffeye.in
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Disclaimer-NAYAN (SEC) intends to offer factual up-to-date information on the subjects discussed but in no way should it be regarded as a complete
analysis of the subject matter. NAYAN (SEC) is condensed from journals, books and other sources. No party associated in anyway with this publication
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