Glaucoma - Aravind Eye Care System

Glaucoma - Aravind Eye Care System
Paykwik
Speciality Clinics
Cataract
Children’s Eye Care
Cornea
General Ophthalmology
Glaucoma
Low Vision & Vision Rehabilitation
Neuro Ophthalmology
Orbit, Oculoplasty, Prosthetics & Oncology
Retina & Vitreous
Uvea
Overview
Diagnosis & Treatment
Our Doctors
Our Research
Training
Overview
The clinic evaluates and treats patients with Glaucoma and other diseases characterised by increased pressure in the eye and/or glaucomatous atrophy of the optic nerve.  It also serves as a large referral centre for the treatment of Congenital Glaucoma, a rare condition with increased eye pressure and corneal enlargement present at birth or during the first few months of life. Patients of all ages, from new-borns to the elderly are being treated.
Glaucoma Clinics at all Aravind centres are well equipped with the latest diagnostic and therapeutic modalities to combat blindness due to the disease. The centre at Tirunelveli is recognised as a Centre of Excellence with a commitment to enhancing quality of patient care and education of ophthalmologists in early diagnosis and therapy.
Glaucoma services are available at Aravind – Madurai, Chennai, Tirunelveli, Coimbatore, Pondicherry and Salem.
Diagnosis & Treatment
The clinic handles Primary Glaucomas, which are largely inherited, in addition to Secondary Glaucomas caused by trauma, inflammation, Diabetes, Retinal Vascular Disease and hypermature cataracts. Deviations from normal retinal nerve fibre thickness are the earliest structural changes in persons with glaucoma.
Treatment
Medication (eye drops)
Laser Procedures
Surgical procedures
Routinely performed procedures
Trabeculectomy
Trabeculectomy + Trabeculotomy.
Trabeculectomy with anti mitotic agents like Mitomycin-c or 5-FU
Trabeculectomy with ologen implants,
Valve /Tube implants
Combined Trabeculectomy with IOL implantation.
Bleb needling , bleb repair/ revision
Non penetrating glaucoma filtering surgeries : deep sclerectomy (including laser assisted),
Our Doctors
ARAVIND – MADURAI
Chief
Dr. George Varghese Puthuran, MS
Senior Medical Consultant
Dr. S.R. Krishnadas, DO, DNB
Medical Consultants
Dr. Manju R Pillai, DO, DNB
Dr. R. Sharmila, DNB
Dr. H. Kasthuri Bai, DO, DNB
Dr. S. Vidya, DO
Dr. Indira Durai, DNB
Dr. Deeba Ishrath, DO
Dr. A. Vijayalakshmi, MS
Dr. Raji Koshy Daniel, DO
Dr. Ann Mary Mathew, MS
Dr. B. Niranjana, MS
ARAVIND – COIMBATORE
Chief
Dr. Ganesh V Raman, MS
Medical Consultants
Dr. C. Prem Anand, MS
Dr. Rohan Anand Daniel, DO, DNB
Dr. Mrunalimohan, MS
Dr. Abhipsa, DNB
Dr. Hridya Mohan, MS, DNB, FRC
ARAVIND – TIRUNELVELI
Chief
Dr. Mohideen Abdul Kader, DNB
Senior Medical Consultants
Dr. R. Ramakrishnan, MS, DO
Dr. Devendra Maheswari, MS
Medical Consultants
Dr. R. Aarthy, MS
Dr. Nimrita Nagdev, MS
Dr. Shivam Gupta, MS
ARAVIND – PONDICHERRY
Chief
Dr. S. Kavitha, MS
Medical Consultants
Dr. Swati Upadhyaya, DO, MS, DNB
Dr. O. Annamalai, DO, DNB
Dr. Usha Tejaswani S, DO, MS, DNB
Dr. Krishna Chaitanya, MS
Dr. Indira Pegu, MS
ARAVIND – CHENNAI
Medical Consultants
Dr. Neethu Mohan, MS
Dr. M.B. Madhuri, DNB, MS
Dr. V. Prasanna, MS
Dr. Meghana G.R, MS
Dr. Chetna K, DNB
Dr. Lakshmi S, DNB
ARAVIND – SALEM
Medical Consultants
Dr. Peethala Maheswari, DNB
Dr. M. Arjun Shenoy, MS
Dr. G. Megha, MS
ARAVIND – TIRUPATI
Chief
Dr. Ashok Vardhan, DO, DNB
Medical Consultants
Dr. K. Sreenath, DO, DNB
Dr. Keerthi Gayam, DNB
Dr. Venkata Sudheer, DNB
Dr. Modepally Preethy, MS
Dr. D.V. Navaneetha, DNB
Our Research
The department is involved in various research activities both basic as well as clinical. Clinical trials for new drugs are also being conducted.
On-going research:
Deep learning algorithms applied to optical coherence tomography images of the optic nerve head for improved glaucoma diagnosis
Indian childhood glaucoma incidence study
Perfusion loss assessment in glaucoma
Prospective study of changes in ocular biometrics after trabeculectomy with mitomycin C in adult glaucoma patients
Blindness due to steroid induced glaucoma in children in India
Prospective study of changes in ocular biometrics after trabeculectomy with mitomycin C in adult glaucoma patients
Shared medical appointments randomized trial
A prospective study to evaluate the reasons for hospital visit among patients with primary glaucoma
The Asia Primary Tube versus Trab Study
Major Publications
Sharmila R, Sujani Shroff, Sangeeta Vivek Patil, Mohammed Sithiq Uduman, Ashok Vardhan, Krishnadas SR |
Surgical outcomes of repeat trabeculectomy augmented with high dose mitomycin C
Indian J Ophthalmol. 2019;67:95-100.
Manju R Pillai, Sapna Sinha, Pradeep Aggarwal, Ravindran RD, Privitera CM |
Quantification of RAPD by an automated pupillometer in asymmetric glaucoma and its correlation with manual pupillary assessment
Indian J Ophthalmol. 2019;67:227-232.
Philip R, Premanand C, Nabeed A, Mrunali D, Ganesh V Raman |
Intermediate-term outcome of Aurolab aqueous drainage implant
Indian J Ophthalmol. 2019;67:233-238.
Krishnadas R |
Current management options in primary angle closure disease
Indian J Ophthalmol 2019;67:321-3.
Kavitha S, Ramulu PY, Venkatesh R, Palaniswamy K, Kader MA, Raman GV, Sharmila R, Zebardast N |
Resolution of visual dysphotopsias following laser iridotomy: 6 month follow-up
2019;126:469-471. Epub 2018.
Varadaraj V, Ashok Vardhan, Mudie LI, LaBarre S, Ong Y, Wang B, Sherrod C, Friedman DS |
Uncontrolled Hypertension is Common in Glaucoma Clinics
Am J Hypertens.
2018 Jul 14. [Epub]
Sathvik N, Manju Pillai R, George V Puthuran, Cassandra T, Robin AL |
Waste generated during glaucoma surgery: A comparison of two global facilities
Am J Ophthalmol Case Reports. 2018;12:87-90.
Premanand C, Anjali SK, Nabeed A, Ganesh V Raman |
Bilateral idiopathic spontaneous filtering bleb with ectopia lentis: A case report and review of literature
Indian J Ophthalmol. 2018;66:134-136.
Varsha R, Premanand
Philip R
, Vinoth
, Ganesh, V Raman |
Effect of Mannitol on Intraocular Pressure in Vitrectomized and Non-vitrectomized Eyes: A Prospective Comparative Study
J Glaucoma.
2018 Dec 11. [Epub]
Ezegwui I Ravindran M Pawar N Allapitchai F Rengappa R Raman RR |
Glaucoma following childhood cataract surgery: the South India experience
Int Ophthalmol. 2018;38:2321-2325.
Kavitha S Zebardast N Palaniswamy K Mohideen Abdul Kader Ganesh V Raman Sharmila R Venkatesh R Ramulu PY |
Comparison of New Visual Disturbances after Superior versus Nasal/Temporal Laser Peripheral Iridotomy: A Prospective Randomized Trial
2018;125:345-351.
Sharmila R Naresh Babu Sapna Sinha Vijayakumar B Ashok Vardhan A Puthuran GV Ramulu PY |
A Randomized Controlled Trial Comparing outcomes of Cataract Surgery in Nanophthalmos with and without Prophylactic Sclerostomy
Am J Ophthalmol. 2017;183:125-133.
Prabu B Sindal MD Dhoble P Ramakrishnan S Venkatesh R Ramulu P |
Acute angle closure glaucoma secondary to polypoidal choroidal vasculopathy – a devastating complication
GMS Ophthalmol Cases. 2017;7:Doc01.
Nagesha CK Ganne P |
Occult optic disc pit maculopathy in a glaucomatous disc
Middle East Afr J Ophthalmol 2017;24:165.
Manju R Pillai, PP Hasini, Ashish Ahuja, SR Krishnadas |
A rare case of overlapping Sturge–Weber syndrome and Klippel–Trenaunay syndrome associated with bilateral refractory childhood glaucoma
Indian J Ophthalmol. 2017;65:623-625.
Varadaraj V Sengupta S Palaniswamy K Kavitha S Mohideen Abdul Kader Ganesh VR Sharmila R Ramulu PY Venkatesh R |
Evaluation of Angle Closure as Risk Factor for Reduced Corneal Endothelial Cell Density
J Glaucoma. 2017;26:566-570.
Manju Pillai R Sapna Sinha Krishnadas R |
Childhood Glaucoma – Current Update
J Ophthalmic Sci Res. 2017;37:33-42.
Indra D Mrunali MD Anand CP Ganesh VR Krishnadas R |
Bilateral Simultaneous Acute Angle Closure Glaucoma in Pseudophakia Induced by Chlorthalidone V
Case Rep Med. 2016;2016:3713818
Zebardast N Kavitha S Palaniswamy K Sengupta S Mohideen Abdul Kader Ganesh VR Sharmila R Ramulu PY Venkatesh R |
Angle Closure Phenotypes in Siblings of patients at Different Stages of Angle Closure
| 2016;123:1622-4.
Zebardast N Kavitha S Palaniswamy K Friedman DS Nongpiur ME Aung T Quigley HA Ramulu PY Venkatesh R |
Changes in Anterior Segment Morphology and Predictors of Angle Widening after Laser Iridotomy in South Indian Eyes
2016;123:2519-2526.
Venkatesh R Kavitha S |
Secondary Angle Closure Glaucoma and Malignant Hypertension: A Rare Association
Ann Clin Case Rep. 2016;1:12.
Ramakrishnan R; Arijit Mitra; Mohideen Abdul Kader; Sasmita Das |
To Study the Efficacy of Laser Pheripheral Iridoplasty in the Treatment of Eyes with Primary Angle Closure and Plateau Iris Syndrome Unresponsive to Laser Peripheral Iridotomy using Anterior-Segment OCT as a Tool
J Glaucoma. 2016;25:440-6. Epub 2015.
Lipi Chakrabarty; Joshi G D; Chakravarty A; Ganesh V Raman; Krishnadas R; Sivaswamy J |
Automated Detection of Glaucoma from Topographic Features of the Optic Nerve Head in Color Fundus Photographs
J Glaucoma. 2016;25:590-7. Epub 2015.
Do Anna T; Manju Pillai R; Vijayakumar B; Chang R T; Robin A L; Singh K; Lee B W |
Effectiveness of Glaucoma Counseling on Rates of Follow-up and Glaucoma Knowledge in a South Indian Population
J. Ophthalmol. 2016;163:180-9.e4. Epub 2015.
Kavitha S; Patel S R; Mohini P; Venkatesh R; Sengupta Sabyasachi |
Vitiligo Iridis and Glaucoma: a rare sequelae of small pox
| Eye. 2015;29:1392-1394.
Ramakrishnan R; Arijit Mitra and Mohideen Abdul Kader |
Surgical and Visual Outcomes of Childhood Glaucoma at a Tertiary Eye Care Center in South India
Asia Pac J Ophthalmol. 2015;4:250-258.
Ganesh Babu T R; Shenbaga Devi S and Venkatesh R |
Optic Nerve Head Segmentation using Fundus Images and Optical Coherence Tomography Images for Glaucoma Detection
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015;159:607-15.
Arijit Mitra; Ramakrishnan R and Mohideen Abdul Kader |
Anterior Segment Optical Coherence Tomography Documentation of a Case of Topiramate Induced Acute Angle Closure
| Indian J Ophthalmol. 2014;62:619-622.
Kavitha S; Zebardast N; Palaniswamy K; Wojciechowski R; Chan E S; Friedman D S; Venkatesh R; Ramulu P Y |
Family History is a Strong Risk Factor for Prevalent Angle Closure in a South Indian Population
2014;121:2091-7. Epub 2014.
Bhagat P; Sodimalla K; Paul C; Pandav S S; Ganesh V Raman; Ramakrishnan R; Joshi A; Ahas Raut |
Efficacy and Safety of Benzalkonium Chloride-Free Fixed-Dose Combination of Latanoprost and Timolol in Patients with Open-Angle Glaucoma or Ocular Hypertension
J Clinical Ophthalmol. 2014;8:1241-1252.
Arijit Mitra; Ramakrishnan R and Mohideen Abdul Kader |
Open Angle Glaucoma in a Case of Type IV Ehler Danlos Syndrome: a rarely reported association
| Indian J Ophthalmol. 2014;62:880-884.
Deb Amit K; Kaliaperumal Subashini; Rao Vasudev A; Sengupta Sabyasachi |
Relationship between Systemic Hypertension Perfusion Pressure and Glaucoma: a comparative study in an adult Indian population
| Indian J Ophthalmol. 2014;62:917-922.
Ganesh Babu T R; Sathishkumar R and Venkatesh R |
Retinal Nerve Fiber Layer Segmentation of OCT Images by Entropy Method
Res J Pharm Biol Chem Sci. 2014;5:1397.
Shabana Bharathi; Ganesh V Raman; Dhavalikar Mrunali Mohan; Anjana Krishnan |
An Unusual Presentation of Pseudomonas Aeruginosablebitis following Combined Surgery
| Indian J Ophthalmol. 2014;62:958-960.
Sharmila R; Nidhi Gupta; Vijayakumar B; Kumaragurupari R; Krishnadas R |
Screening First Degree Relatives of Persons with Primary Open Angle Glaucoma in India
J Curr Glauocma Practice. 2014;8:107-112.
Williams A L; Gatla S; Leiby B E; Fahmy I; Biswas A; De Barrows D M; Ramakrishnan R; Bhardwaj S; Wright C; Dubey s; LYnch J F; Bayer A; Khandelwal R; Ichhpujani P; Gheith M; Siam G; Feldman R M; Henderer J D; Spaeth G L |
The Value of Intraocular Pressure Asymmetry in Diagnosing Glaucoma
J Glaucoma. 2013;22:215-218.
Sengupta Sabyasachi; Venkatesh R and Ravindran R D |
Safety and Efficacy of Using Off-label Bevacizumab versus Mitomycin C to Prevent Bleb Failure in a Single-Site Phacotrabulectomy by a Randomized Controlled Clinical Trial
J Glaucoma. 2013;22:266. Epub 2011
Krishnadas R; Ramakrishnan R |
A Study of Initial Therapy for Glaucoma in Southern India: India glaucoma outcomes and treatment (INGOT) study
| Ophthalmic Epidemiol. 2012;19:149-158.
Moster S J; Fakhraie G; Venkatesh R; Moster M L; Zhao Y; Moster M R |
Relationship of Central Corneal Thickness to Postural IOP Changes in Patients with and without Glaucoma in Southern India
| Int Ophthalmol. 2012;32:307-311.
Ganesh Babu T R; Shenbaga Devi S and Venkatesh R |
Automatic Detection of Glaucoma Using Optical Coherence Tomography Image
J Applied Sciences. 2012;12:2128-2138.
Gandolfi S; Paredes T; Goldberg I; Coote M; Wells A; Volksone L; Manju Pillai R; Stalmans I; Denis P; Travoprost Bak-Free Clinical Study Group |
Comparison of a Travoprost BAK-free Formulation Preserved with Polyquaternium-1 with BAK-preserved Travoprost in Ocular Hypertension or Open-Angle Glaucoma
Eur J Ophthalmol. 2012;22:34-44. Epub 2011
Ramakrishnan R; Mona Khurana |
Surgical Management of Glaucoma: an Indian perspective
Indian J Ophthalmol. 2011;59:S118-S122.
Gopal Datt Joshi; Jayanthi Sivaswamy and Krishnadas R |
Optic Disk and Cup Segementation from Monocular Color Retinal Images for Glaucoma Assessment
IEEE Trans Med Imaging. 2011;30:1192-1205.
Ramakrishnan R; Jayahar M Bharathi; Devendra Maheshwari; Mohideen Abdul Kader; Mona Khurana; Shivkumar C |
Etiology and Epidemiological Analysis of Glaucoma-Filtering Bleb Infections in a Tertiary Eye Care Hospital in South India
Indian J Ophthalmol. 2011;59:445-454.
Hennessy A L; Katz J; Ramakrishnan R; Krishnadas R; Thulasiraj R D; Tielsch J M; Robin Alan L |
The Utility of Relative Afferent Pupillary Defect as a Screening Tool for Glaucoma: prospective examination of a large population-based study in a south Indian
Population
Br J Ophthalmol. 2011;95:1203-1206.
Ramakrishnan R; Devendra Maheshwari; Mohideen Abdul Kader; Rita Singh; Neelam Pawar; Jayahar M Bharathi |
Visual Prognosis Intraocular Pressure Control and Complications in Phacomorphic Glaucoma following Manual Small Incision Cataract Surgery
Indian J Ophthalmol. 2010;58:303-306.
Sathyan P; Venkatesh R; Muralikrishnan R; Eong Kah-Guan Au |
Visual Experience during Phacoemulsification-Trabeculectomy under Peribulbar Anesthesia
Ophthalmic Surg Lasers Imaging. 2010;41:337-341.
Sleath Betsy L; Krishnadas R; Cho Minhee; Robin Alan L; Mehta Rakhi; Covert David; Tudor Gail |
Patient-Reported Barriers to Glaucoma Medication Access Use and Adherence in Southern India
Indian J Ophthalmol. 2009;57:63-68.
Vishwakarma P; Ganesh V Raman and Sathyan P |
Mefenamic Acid-Induced Bilateral Myopia Secondary Angle Closure Glaucoma and Choroidal Detachment
Indian J Ophthalmol. 2009;57:398-400.
Nguyen H J; Krishnadas R |
Intraobserver Variability of Confocal Scanning Laser Ophthalmology with and without Stereo Photographs
Br J Ophthalmol. 2009;93:1552-1553.
Nitin Deshpande; Lalitha Prajna; Krishnadas R; Jitendra Jethani; Manju Pillai R; Robin Alan; Karthik |
Helicobacter Pylori IgG Antibodies in Aqueous Humor and Serum of Subjects with Primary Open Angle and Pseudo-Exfoliation Glaucoma in a South Indian Population
J Glaucoma. 2008;17:605-610.
Lee Bradford; W Sathyan Parthasarathi; John Rajesh K; Singh Kuldev; Robin Alan L |
Predictors of and Barriers Associated with Poor Follow-up in Patients with Glaucoma in South India
| Arch Ophthal. 2008;126:1448-1454.
Sathyan P; Gurdeep Singh; Eong Kah-Guan Au; Ganesh V Raman; Padma S; Prashanth S |
Suprachoroidal Hemorrhage following Removal of Releasable Suture after Combined Phacoemulsification-Trabeculectomy
| J Cataract Refract Surg. 2007;33:1104-1105.
Ramakrishnan R; Saurabh Mittal; Sonal Ambatkar; Mohideen Abdul Kader |
Retinal Nerve Fiber Layer Thickness Measurements in Normal Indian Population by Optical Coherence Tomography
Indian J Ophthalmol. 2006;54:11-15.
Nitin Deshpande; Shashikant Shetty and Krishnadas R |
Pupillary-Iris-Lens Membrane with Goniodysgenesis: a case report
Indian J Ophthalmol. 2006;54:275-276.
Mansberger Steven L Johnson Chris A; Cioffi George A; Choi Dongseok; Krishnadas R; Srinivasan M; Balamurugan V; Usha Kim R; Smith Scott D; Wilkins John H; Gritz David C |
Predictive Value of Frequency Doubling Technology Perimetry for Detecting Glaucoma in a Developing Country
J Glaucoma. 2005;14:128-134.
Ramakrishnan R; Kader Mohideen Abdul and Budde Wido M |
Optic Disc Morphometry with Optical Coherence Tomography: comparison with planimetry of fundus photographs and influence of parapapillary atrophy and pigmentary conus
Indian J Ophthalmol. 2005;53:187-191.
Praveen K Nirmalan; Katz Joanne; Robin Alan L; Ramakrishnan R; Krishnadas R; Thulasiraj R D; Tielsch James M |
Female Reproductive Factors and Eye Disease in a Rural South Indian Population: the Aravind comprehensive eye survey
Ophthalmol. Vis. Sci. 2004;45:4273-4276.
Robin Alan L; Praveen K Nirmalan; Krishnadas R; Ramakrishnan R; Katz Joanne; Tielsch James; Thulasiraj R D; Friedman David S |
The Utilization of Eye Care Services by Persons with Glaucoma in Rural South India
Trans Am Ophthalmol Soc. 2004;102:47-55.
Krishnadas R; Praveen K Nirmalan; Ramakrishnan R; Thulasiraj R D; Katz Joanne; Tielsch James M; Friedman David S; Robin Alan L |
Pseudoexfoliation in a Rural Population of Southern India: the Aravind comprehensive eye survey
J. Ophthalmol. 2003;135:830-837.
Ramakrishnan R; Praveen K Nirmalan; Krishnadas R; Thulasiraj R D; Tielsch James M; Katz Joanne; Friedman David S; Robin Alan L |
Glaucoma in a Rural Population of Southern India: the Aravind comprehensive eye survey
2003;110:1484-1490.
Thulasiraj R D; Praveen K Nirmalan; Ramakrishnan R; Krishnadas R; Manimekalai T K; Baburajan N P; Katz Joanne; Tielsch James M; Robin Alan L |
Blindness and Vision Impairment in a Rural South Indian Population: the aravind comprehensive eye survey
2003;110:1491-1498.
Praveen K Nirmalan; Krishnadas R; Ramakrishnan R; Thulasiraj R D; Katz Joanne; Tielsch James M; Robin Alan L |
Lens Opacities in a Rural Population of Southern India: the Aravind comprehensive eye study
| Invest. Ophthalmol. Vis. Sci. 2003;44:4639-4643.
Dan Jacob A; Honavar Santosh G; Belyea David A; Mandal Anil K; Garudadri Chandrasekhar; Levy Brian; Ramakrishnan R; Krishnadas R; Lieberman Marc F; Stamper Robert L; Yaron Arieh |
Enzymatic Sclerostomy: pilot human study
Arch Ophthal. 2002;120:548-553.
Training
Focus is given to develop trained human resources through the teaching programmes for postgraduates and technicians through long term fellowship and short term fellowship programmes.
Long Term Ophthalmology Fellowship
Fellowship in Glaucoma
Available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry, Chennai, Tirupati, Salem
Short Term Clinical Courses
Clinical Observership Program in Glaucoma
Available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry