Phakic IOLs (Intraocular Lenses) also known as Implantable Contact Lenses (ICLs) are an alternative to Laser Vision Correction (LASIK/ PRK/ SMILE) for correcting moderate to high myopia (nearsightedness) and hyperopia (farsightedness) with or without astigmatism, and in some cases produce better and more predictable vision outcomes than laser refractive surgery.

ICLs are surgically inserted into the eye and are placed in front of the natural lens inside the eye. It involves intraocular augmentation of the natural lens with additional lens without removal of natural lens and does not need to removal like a normal contact lens. ICLs are made of an advanced material that is extremely biocompatible and provides superior optical performance.

At MEC, we are proud to offer this state-of-the-art refractive error solution, especially useful for our patients who otherwise may not be fit for lasik surgery. This surgery corrects higher degree of refractive error. This procedure has many advantages including its correction of the widest range of refractive errors. At MEC, we prefer to chose or offer this procedure in case person is not fit for Laser Vision Correction Surgery or otherwise chooses ICL as his/ her procedure of choice after discussion with our doctors.

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Types of Phakic IOLs

Many Phakic IOL types have been introduced in past with extremely good success rates. Nowadays, we commonly use one of two types of Phakic IOLs available.

The Staar Visian® ICL, also known as the Implantable Collamer® Lens, is premium offering from Staar Surgicals (Switzerland) made up of proprietary collamer material. Collamer, exclusive to STAAR Surgical and Visian ICL Products, is a biocompatible material used to create implantable lenses. ICLs are easy to implant in the eye because of the soft and flexible structure and they feel natural in the eye. The Collamer material that makes up lenses has unique properties that provide UV protection. It can be inserted through a 3.2mm sutureless incision and correct prescription upto -20D.

Indian versions are available made of hydrophilic acrylic material which has shown excellent biocompatibility as intraocular lenses (IOL) used during cataract surgery for years.The Implantable Phakic Contact Lens IPCL V2.0 (Care Group, India) is like a soft contact lens and can be inserted through 2.8mm sub-incision and can correct wide range of prescriptions from  +15 to -30D with Cylinder up to 10D and also has “Add” options for presbyopia up to +4D.

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Advantages of Phakic IOLs

• No Dry Eye Syndrome
• A Removable and Reversible Option
• Protection from UV Rays
• Able to correct a wide range of prescription (upto -30D)
• Great option for Thin corneas

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What is involved in the ICL procedure?

Before you schedule your ICL procedure date, your doctor will perform a detailed preoperative examination and a series of standard tests to determine the suitability for procedure and to determine your eye’s unique characteristics for the procedure. This may also involve performing laser iridotomies (small holes in iris of eyes) sometime before procedure to ensure proper flow of fluid inside your eyes after the procedure.

The ICL surgery is performed on a day care basis which means that the patient has surgery and leaves the same day. The procedure itself usually takes 15-20 minutes or less. Your eyes are dilated before the procedure. A light topical (or local) anaesthetic (numbing drops) is administered just before the procedure. There is very little discomfort during or after surgery because of drops. A small incision is placed at base of cornea to insert the lens. The lens is folded and inserted inside the eye through it. Once inserted, surgeon makes the necessary adjustments to the lens to ensure proper position inside the eye. At this time the procedure is complete and some eye drops or medication will be prescribed to clean eyes and prevent infection. Although many have improved vision nearly immediately but you will need someone to drive you home on the day of surgery. A visit with your eye care professional is usually scheduled the day after surgery.

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Frequently Asked Questions (FAQs)

Where is the IOL placed?

A trained ophthalmologist will place the IOL through a micro-incision, placing it inside the eye just behind the iris in front of the eye’s natural lens. The IOL is designed not to touch any internal eye structures and stay in place with no special care.

Does it hurt?

No, most patients state that they are very comfortable throughout the procedure. Your ophthalmologist will use a topical anesthetic drop prior to the procedure and may choose to administer a light sedative as well.

Can the IOL be removed from my eye?

Although the IOL is intended to remain in place permanently, an ophthalmologist can remove the implant in a very quick and short procedure.

Is the IOL visible to others?

No, the IOL is positioned behind the iris (the colored part of the eye), where it is invisible to both you and observers. Only your doctor will be able to tell that vision correction has taken place.

Will the patient be able to feel the IOL once it is in place?

The IOL is not like a contact lens over the eye. It is placed inside the eye and cannot be felt.

Will it interfere with cataract Surgery later on?

No, it does not interfere with cataract surgery measurements. It is easily removed during cataract surgery along with the cataract and an entirely new lens is put in place of the cataract.

What are potential risks of ICL Surgery?

Early complications (reported in the first week after ICL surgery) include: Shallowness of the front chamber of the eye that can create an increase of the pressure into your eye (may necessitate a peripheral iridectomy, read above), temporary corneal swelling (edema) and transient inflammation in the eye or iritis.

Complications after 1 week include: increase in astigmatism, loss of best corrected vision, clouding of the Crystalline lens (cataract), loss of cells from the back surface of the cornea responsible for the cornea remaining clear (endothelial cell loss), increase in eye pressure, iris prolapse, subretinal hemorrhage, retinal detachment, secondary ICL related surgeries (replacements, repositionings, removals, removals with cataract extraction), too much or too little correction, and additional YAG iridotomy necessary.

Laser Refractive Surgery (LRC) or Laser Vision Correction (LVC) essentially uses Lasers to correct refractive error of eye. Excimer Lasers have been used for this purpose for a long time and enjoy a lot a favour because of exceptional results, stable correction and very low complication rate. Accuracy and safety of results have achieved a whole new level with the introduction of Femtosecond Lasers.

We, at Mahajan Eye Centre (MEC), are proud to boast of one the most pristine Laser Refractive Surgery Setup using both Excimer and Femtosecond Lasers for the world leader in optoelectronics, Zeiss. A combination setup of Zeiss Mel 80 (Excimer Laser) and Visumax (Femtosecond Laser) help us perform all the possible modalities of laser Refractive surgery including the latest generation SMILE.

LVC Procedures

The Laser Vision Correction technology can actually be divided into three different surgery representing three different generations of LVC.

• PRK (Photorefractive Keratectomy) (1st Generation LVC)
• LASIK (Laser Assisted In-Situ Keratomileusis) (2nd Generation LVC)
• SMILE (Small Incision Lenticule Extraction) (3rd Generation LVC)

Bursting Myths about Refractive Surgery!

• Is Painful
• Correction is Temporary/ Power will return after some time
• Cannot work on screens/ computers after surgery
• High-Risk for permanent eye damage/ Blindness
• Procedures are long
• Is only for Myopia
• May Burn Eyes
• Long term effects are unknown
• Laser Eye surgery is not affordable

When is Refractive Eye Surgery Not Right for Me?

• If you are under 18 years of age
• If you have uncontrolled diabetes & glaucoma
• If your contact lens or glass prescription was changed the previous year
• If you have abnormal wound-healing due to disease or medication
• If you are pregnant or breastfeeding

How do I Prepare Myself for Refractive Surgery?

• Discontinue contact lenses a week before your eye test with a doctor
• Carry your previous glass prescriptions along for your visit
• Undergo detailed examination before the procedure
• Be clear about your expectations and motivation for the procedure
• Trust your doctor’s choice of procedure for your eyes
• Do not wear eye makeup for the procedure
• Plan a few days rest to care for your eyes after the procedure
• Avoid swimming, beach holidays for a week after the procedure

SMILE: The Latest Generation Laser Vision Correction

We want to give you something to SMILE about. And it’s here! The latest laser vision correction may be your ticket to glasses-free, contact-free clear vision.

SMILE is an advanced technique and therefore the latest development in the refractive laser treatments. Beyond Lasik and it’s variants like Contoura Vision, Femto Lasik, Robotic Lasik; it is suitable for patients with dry eyes, contact lens intolerance and playing contact sports. It has already helped millions achieve freedom from glasses and contacts.

Can you imagine the freedom?

The ReLEx SMILE technique is performed using the highly precise advanced VisuMax femtosecond laser from Carl Zeiss AG, Germany. This laser system has impressed both the patients and the physicians alike with its sophisticated technology and its precision and reliability.  ReLEx SMILE using VisuMax promises accuracy down to the nearest micrometer precision.

MEC is one of the first few centres offering smile surgery in Delhi at a very reasonable cost. We are already equipped with the future of laser vision correction technologies, premium and most advanced.

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What is SMILE?

SMILE is the latest in laser vision correction for myopia (nearsightedness),  providing LASIK-like outcomes in a minimally invasive procedure. A laser is used to create a thin contact-lens shape layer just beneath the surface of the eye and then a small opening through which that layer is removed, correcting your vision.

ReLEx SMILE is a breakthrough in laser vision correction offering a whole new level of precision, safety and comfort. In fact, you might just experience the world through a whole new lens-your natural ones.

ReLEx SMILE is a pain free, minimally invasive approach with the advantage of a 100% blade–free laser vision correction. This procedure involves no corneal flaps; refractive changes are made in the intact cornea itself.

Unlike the conventional procedures, ReLEx SMILE involves the creation of an extremely thin 3D layer in your intact cornea, corresponding to your refractive number that needs correction.  This is then extracted out through a small keyhole incision of about 2-4mm only. As a result, the cornea gets reshaped to correspond to the ideal shape for correct vision. Entirely laser controlled, it is done in a few seconds- precise, safe and comfortable.

SMILE (Small Incision Lenticular Extraction) is the most advanced 3^rd generation of laser vision correction. It is minimally invasive, flapless and bladeless procedure that combines the advantage of previous two generations with increased safety and comfort.

ReLEx SMILE is a further advancement over LASIK / Femto-LASIK. 

Worldwide, over 750,000 SMILE procedures have been performed by more than 1,000 surgeons. And these numbers continue to grow every day! In fact, SMILE is the fastest-growing laser vision correction.

SMILE IS LIFE CHANGING.

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Laser Vision Correction Comparison: What makes SMILE different from LASIK?

Laser vision correction helps correct vision that is farsighted, nearsighted or has astigmatism. During the procedure, a laser gently reshapes the cornea so that light focuses better. Millions have been helped by PRK and LASIK. Now we’re offering patients SMILE, a minimally-invasive procedure with little downtime.

SMILE is a unique procedure that works without the need for creating a flap. The procedure involves creating a lenticule within intact cornea using ultra-precise femtosecond laser. In second step a small incision of about 4mm or lesser is made by the laser, through which the lenticule is extracted out. Removing the lenticule changes the shape of cornea, thereby achieving refractive correction. The lenticule is removed with minimal disruption to the corneal biomechanics.

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SMILE Advantages

If safety is your priority, SMILE is the gold standard treatment for removal of specs. It is much more safer than LASIK and its variants

1. No Flap Related Complications like flap dislocation or detachment.
2. Corneal surface is left majorly untouched, preserving its biomechanical strength and stability better than other techniques.
3. Totally Bladeless
4. Incidence of dry eye and other post-surgical effects is drastically reduced in case of SMILE as compared to LASIK.
5. Since this procedure is minimally invasive, it involves minimum intervention and therefore less after care is required, enabling you to enjoy your new visual sensation right from day one. SMILE treatment provides quicker healing as compared to LASIK.
6. Overall treatment is gentler and visual recovery is faster.
7. Wider Application: People with thin corneal tissue who are unfit for LASIK can still opt for SMILE (To be decided by operating surgeon).There are some conditions in which LASIK can not be done while SMILE can be.
8. No Change of Equipment required during surgery. SMILE is all-Femto one-step one-laser procedure making overall procedure faster.
9. Excimer laser is not needed as only Femtosecond Laser is used in the procedure. Hence, there is no odour, less discomfort, faster healing. Femtosecond Laser assisted LASIK procedure needs two lasers – Excimer and Femto for the procedure. Excimer Laser has a peculiar odour.
10. Inflammation is reduced to negligible as the total laser energy used is up to 10 times lesser than an excimer laser. 

Our surgeons and staff will help you determine which option is best for your eyes. A consultation appointment will help determine which solution will be best or your unique eyes and vision goals.

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Are you the right candidate for SMILE surgery?

1. You should be 18 years old or above.
2. You should have a steady eye prescription in the last year.
3. You have nearsightedness between -1 and -10 diopters with or without astigmatism (Till -5 diopters).
4. Your corneas need to be healthy, and your overall eye health must be generally good.
5. Retina should be normal.

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SMILE Treatment in Delhi: Why MEC?

SMILE has become one of the most preferred option for spectacles removal. At MEC, we have helped numerous patients with specs removal. At MEC, one can get a comprehensive evaluation and know if SMILE surgery is the right treatment for you.

1. Latest SMILE Procedure available.
2. Multiple treatment options for your refractive errors.
3. All diagnostic modalities under one roof.
4. One of the first few centres to have SMILE correction technology in Delhi NCR.
5. Easy Payment Plans, TPA and cashless benefits.
6. Special offer on SMILE.
7. Over 10000 laser eye corrections done.

Contact us for Relex SMILE eye surgery cost in Delhi and book an appointment with our expert today. You can read more about other Laser Vision Correction Options.

Photorefractive keratectomy (PRK) is a type of laser eye surgery designed to correct vision problems like nearsightedness, farsightedness and astigmatism. PRK came before laser procedure called LASIK, but PRK is still performed frequently and regularly with good success rate.

Advantage PRK

PRK is arguably the safest Laser Vision Correction Surgery available. It leaves the maximum residual corneal thickness amongst all Laser Vision Correction Procedures and is often the preferred procedure in cases with borderline corneal thickness.

Transepithelial (Touchless)PRK

Nowadays, we mostly perform Transepithelial or Touchless PRK where instead of mechanical or chemical removal of epithelium (top layer of cornea) we directly use laser to remove this layer.

Advantages with this procedure include:

• Faster Recovery
• Lesser Pain
• Better Comfort

Frequently Asked Questions

What can I expect in the initial post-op recovery period?

In the initial 3-5 days, there will be a bandage contact lens over the eye and a feeling of slight irritation, watering, pain and swelling is expected.

How will my visual recovery be after PRK?

Visual recovery may take a few weeks to stabilise.

What care should I take after the PRK treatment?

No splashing water into the eyes, No rubbing the eye, no eye makeup.

How long do I need to wear sunglasses?

Wear UV protected sunglasses outdoors for 1 year after the PRK treatment to reduce the risk of haze.

How long do I need to use eye drops?

You will have to use eye drops for about 3 months after the treatment.

Is PRK a safe procedure?

Yes, It is the safest Laser procedure as it leaves behind good corneal thickness. It is preferred in corneas with borderline thickness because of its safety profile.

Do I require eye patch after the PRK treatment?

No, Bandage Contact Lens (BCL) is used for 3-5 days after the PRK treatment, but you can open and close the eye normally.

The most popular refractive surgery today is LASIK, a laser vision correction procedure that improves eyesight by reshaping the front surface of the eye with an excimer laser. “LASIK” is an acronym for “laser in situ keratomileusis,” which means, “to reshape the living cornea”.

We, at MEC, perform lasik on state-of-the-art, high performance and versatile combination of Femtosecond Laser Visumax and Excimer Laser MEL 80 from world leader in opto-electronics, Zeiss. The machines are designed to make the correction of vision defects even safer, more patient-friendly and individual. All the parameters of this ultramodern work platform are oriented towards increasing efficiency, achieving optimum treatment results and the rapid recovery of vision. Key factors here are the very high ablation rate, the high-performance eye tracker system and individual treatment planning.

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Understanding LASIK

LASIK , the laser procedure permanently changes the shape of the cornea, the clear covering of the front of the eye, using an excimer laser.

It is a two-step procedure which begins with a hinged flap creation using a either a mechanical microkeratome (a blade device) or a laser microkeratome (Femto laser assisted bladeless procedure) . The flap is folded back revealing the stroma, the middle section of the cornea. Laser pulses from excimer vaporizes a predetermined portion of the stroma and the flap is replaced.

Range of Power Approved

Laser vision correction has been approved for myopia up to -12.00 D, hyperopia up to +6.00D and astigmatism upto 6.00 D depending upon corneal thickness and shape.

Age for Lasik

Patient should be greater than 18 years of age however a good candidate is one who has stable glasses and/or contact lens prescription. Most individuals by the age of 20-21 have reached a point at which their glasses prescription will remain relatively stable.

Pre-Lasik Workup

At MEC, we offer detailed pre-lasik workup with Detailed Patient History and Clinical Examination with Special Stress on Understanding Patient Expectations and Requirements, Eye Tear Film/ Dryness Assessment, Corneal Topography (Atlas: Humphrey, USA), Corneal Pachymetry (thickness) (Sonomed, USA), Corneal Tomography (Pentacam: Oculus, Germany) and Retinal Periphery Examination with Indirect Ophthalmoscopy.

Procedure

Throughout the procedure the patient is awake and eye drops are the only anesthesia given (Topical) making the procedure essentially painless. Patient’s eyelids and lashes are cleansed for sterility and the lids are gently opened with an eye speculum. Patients keep on looking at a blinking red light that keeps eye properly positioned. During the flap creation phase one has a sensation of pressure and a grayness of vision. Then the laser is used and one will hear a rapid clicking sound. The flap is replaced and it takes about 1-2 minutes for it to stick down. The procedure takes about 5-10 minutes per eye. After the procedure, patients will be prescribed eye drops to help your eye heal. Also, vision may be a little blurry for a day or so. Most patients are able to return to work in 24 hours, and have continuing improvement in their vision over next 3-4 weeks.L

Life of Laser Correction:

The laser vision correction will generally last for the rest of your life. Current studies show that once the cornea has been modified by the current Excimer laser protocol such as LASIK, it tends to remain stable and stay modified permanently. There are rare cases of regression, which may be corrected with further surgery, but the vast majority of corrected eyes remain stable.

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Femto-LASIK (Bladeless LASIK)

Femtosecond laser has revolutionized laser refractive surgery. It is a precise, cutting tool that can make corneal surgery accurate and safe.

In Femto LASIK, two lasers are used during the procedure: Corneal flap is fashioned with a femtosecond laser as a first step followed by excimer laser power correction below the flap as the next step.In Femto LASIK, the flap is created with laser instead of blade as in conventional LASIK.

FEMTO VERSUS BLADE FLAP

LASIK FLAPS: FEMTO (VS. BLADE)

Better Predictability of Flap Thickness: Thinner Flaps/ Lesser Ablation/ Stronger Cornea

Better Predictability of Flap Diameter/ Anatomy: Uniform,Smooth and Even Flaps

More Independent of underlying Corneal Parameters: A steep or flat cornea can pose difficulty in flap creation with microkeratome blade: Femto is Safer and Precise

Better anatomy of Flap edge (Vertical Cut of Femto vs. Sloping Edge of Blade Flap): Planar Flaps leading to Better Alignment and Healing with lesser chances of complications like flap displacement and epithelial cells growing under the flap edge

Gentler Method with Faster Vision Restoration

Safer and More Precise Procedure : Fewer Complications

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Frequently Asked Questions

How is bladeless Lasik better than blade Lasik?

It is a much safer procedure with lower risk of complications. The flap created is more uniform and precise . It also heals faster and better.

Are two Lasers used in bladeless Lasik?

Yes, one Femtosecond Laser is used to create the flap and another Excimer Laser is used to correct the power.

Do all Lasik Centres have bladeless option?

No, not necessarily. As it requires an entire new, expensive Laser setup different from the Excimer laser. Please ask for the bladeless Lasik option before planning your Lasik procedure

Can bladeless Lasik treat all refractive errors?

Yes, it can treat a wide range of plus, minus and cylindrical powers.

Is the pain during bladeless Lasik is lesser than with blade Lasik?

Yes, the feeling of pressure, sensation and blackout while creating the flap is associated only with the blade Lasik procedure.

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After the Procedure…

• Expect to see blurry and experience some watering, irritation on the day of treatment
• The day after, vision and comfort will be better
• Care to be taken while instilling drops to not disturb the flap
• No water in the eyes and head bath for 7-8 days
• Protective sunglasses outdoors for two weeks
• Side-effects: Dryness, glare, light sensitivity, night vision blurry These are common and gradually get better over a few weeks.

In our modern competitive society, a pleasing appearance often means the difference between success and failure in both our personal and professional lives. Men and women are very conscious about their appearance. The present generation is giving importance to their aesthetics in every aspect to improve their personality. Aesthetics is critical today not because other factors don’t matter, but because competition has pushed quality so high that style is often the only way to stand out.  Wearing or not wearing glasses affects your appearance and other people’s perceptions of you. Millions across the world rely on spectacles or lenses for precise vision. And you just might be one of them.  The solution is at your doorstep.

What are Refractive Errors (Spectacle Power)?

A refractive error is an error in the focusing of light by the eye and a frequent reason for reduced visual acuity. It is the most common ailment affecting the human eye. Refractive errors include Myopia (Nearsightedness), Hypermetropia (Farsightedness), Astigmatism (Cylindrical errors) and Presbyopia.

What is Refractive Surgery?

Refractive surgery is used to describe any of a variety of eye surgeries to correct refractive errors and thereby reduce or eliminate a person’s need for eyeglasses or contact lenses. Refractive surgery is swiftly transforming vision correction process world over with impressive results.  Common vision problems like near sightedness, far sightedness, astigmatism and presbyopia can now be treated.

At Mahajan eye Centre (MEC), we offer state of the art instrumentation blended with the expertise of highly skilled doctors that ensures utmost care for your eyes. Advanced laser and intraocular lens technology can free you from your dependence on eye glasses. We are one among the select few centers in India, offering the most advanced laser vision correction procedure technology, SMILE. At Mahajan eye centre (MEC), we offer surgery for removal of spectacles by:

• Laser Vision Correction
  • PRK
  • LASIK
  • SMILE
• Phakic IOLs (ICL/ Implantable Contact Lenses)
• Refractive Lens Exchange

Bursting Myths about Refractive Surgery!

• Is Painful
• Correction is Temporary/ Power will return after some time
• Cannot work on screens/ computers after surgery
• High-Risk for permanent eye damage/ Blindness
• Procedures are long
• Is only for Myopia
• May Burn Eyes
• Long term effects are unknown
• Laser Eye surgery is not affordable

When is Refractive Eye Surgery Not Right for Me?

• If you are under 18 years of age
• If you have uncontrolled diabetes & glaucoma
• If your contact lens or glass prescription was changed the previous year
• If you have abnormal wound-healing due to disease or medication
• If you are pregnant or breastfeeding

How do I Prepare Myself for Refractive Surgery

• Discontinue contact lenses a week before your eye test with a doctor
• Carry your previous glass prescriptions along for your visit
• Undergo detailed examination before the procedure
• Be clear about your expectations and motivation for the procedure
• Trust your doctor’s choice of procedure for your eyes
• Do not wear eye makeup for the procedure
• Plan a few days rest to care for your eyes after the procedure
• Avoid swimming, beach holidays for a week after the procedure

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Refractive Lens Exchange (RLE)/ Clear Lens Extraction (CLE)

In this procedure we replace the natural clear lens with a suitable IOL, not unlike a cataract surgery. This procedure is used for high dioptric power where other refractive procedures may not be indicated due to any reason.

To know more Refractive Surgery services at MEC please click here.

Cataract is the clouding of natural crystalline lens inside the eye, which leads to decreased vision. It is the most common cause of blindness in India and is conventionally treated with surgery. Apart from biological aging the process, opacification of the lens is hastened by diabetes, trauma, radiation, genetic predispositions and several other factors. The surgery aims at replacing the natural lens with artificial lens i.e. intraocular lens (IOL).

At Mahajan Eye Centre (MEC), we are proud to announce ourselves as the “walk-in walk-out” cataract surgery centre offering “no stitch (sutureless), no injection, no pain, no hassles” advanced cataract surgery. We perform cataract surgery with latest MICS (Micro-incision cataract surgery) phacoemulsification technology using AMO sovereign compact with whitestar/ ICE. The cutting edge technology along with unmatched expertise available at MEC helps us to deliver best results in cataract surgery. The surgery is done under topical anesthesia (using drops only) for most cases and deals with melting the lens through a very small incision (1.8-2.8mm) and removing it and replacing it with foldable lens. It has excellent results as well as postoperative comfort.

AMO Sovereign Compact with Whitestar/ ICE

Generations of Cataract Surgery Over Years: Latest MICS offers Cataract Removal through very small incision (1.8-2.2mm)

For Surgical Video click here

At MEC, we offer a wide spectrum of intraocular lens (IOLs) to be used during cataract surgery:

• Monofocal Foldable IOLs (Hydrophilic/ Hydrophobic)
• Monofocal Aspheric IOLs (Aberration Free): Helps take care of natural aberration present in cornea for better vision quality and sharpness especially useful in activities like night driving.
• Toric IOLs: For correcting Astigmatism (Pre-existing cylindrical power) of the eye
• Multifocal IOLs:These lenses are for those who want to see without glasses for both distance and near. These are specially designed lenses having zones for distance and near focus.
• Toric Multifocal IOLs
• Accommodating IOLs (Crystalens from Bausch and Lomb)

Alcon Restor Multifocal IOL

Once surgery for cataract has been done, it never occurs again. However, patients may have mild blurring of vision post- cataract surgery after variable interval due to thickening of the membrane on which IOL has been placed. This, almost universal, phenomenon is called Posterior Capsular Opacification (PCO) which is easily taken care of by laser capsulotomy which is performed using latest Nd-Yag Laser machine at MEC as a minor OPD procedure.

Appa Nd-Yag Laser

To know more cataract services at MEC please click here.

Retina is the light sensitive innermost layer of the eye found at the back of the eye. It is on this layer that falling light creates changes, which are transmitted to the brain to create the image.

At Mahajan Eye Centre (MEC), we offer the utmost technology and unparalleled expertise in retinal diagnosis and treatment for all type of medical and surgical vitreo-retinal diseases. A number of diseases may affect retina:

• Diabetic Retinopathy
• ARMD (Age related macular degeneration)
• Retinal Vascular Occlusion
• Retinal Detachment
• Posterior Segment complications of Cataract Surgery (Nucleus Drop, IOL Drop, Endophthalmitis)
• Vitreous Hemorrhage
• Macular Pucker (Epiretinal Membrane-ERM)
• Cystoid Macular Edema (CME)
• Retinal Degenerations and Dystrophies

At MEC, we have Digital Fundus Camera with Angiography (FFA) for retinal angiography (Vx10a: Kowa, Japan) and latest High Definition 3D OCT (Optical coherence Tomography) with enhanced depth imaging (EDI) for detailed retinal study (Cirrus 500: Zeiss, Germany). Ultrasound B-Scan (Accutome, USA) is also available for enhanced diagnosis where media opacity is present.

Kowa Vx-10α

Cirrus 500 HD OCT

Accutome B-Scan

At MEC, we have a dedicated vitreo-retina operation theatre (OT) with high-end Microscope (Lumera I: Zeiss, Germany) and high-speed vitrectomy machine (7500 cuts/min) with microincision (MIVS) vitrectomy facilities. 532 nm Green Laser (Visulas 532s: Zeiss, Germany) is available for retinal photocoagulative procedures with slit-Lamp delivery and laser indirect ophthalmoscope for OPD treatment and endolaser for intraoperative laser delivery. Our experts operate even complex retinal detachments and diabetic retinopathy cases with ease. Vitrectomy, scleral buckling and pneumatic retinopexy surgeries are commonly performed. In addition, facilities for intravitreal injection of all types are available including avastin (bevacizumab), lucentis (ranibizumab), ozurdex (dexamethasone implant), antibiotics, gas (C3F8/ SF6) and r-TPA (Recombinant Tissue Plasminogen Activator).

Retikare Hi-Speed (7500 cuts/min) Vitrectomy Machine with MIVS Facility

Vitrectomy (Vitreo-Retinal Surgery) Procedure Underway

Schematics of Vitreous Surgery

For Surgical Video click here.

Intravitreal Injection being given

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Uvea is the pigmented middle of the three concentric layers that make up an eye. It includes the iris, ciliary body and choroid. Many diseases may affect uvea including:

• Uveitis
• Choroiditis
• Iritis,
• Iridocyclitis
• Sympathetic ophthalmia
• Uveal melanoma.

At MEC, we investigate the patient of uveal problems in depth and treat accordingly. Uveitis or Ocular Inflammation is a condition in which the middle layer of the eye gets inflamed. Uveitis can also lead to inflammation in the adjacent areas, like the retina and vitreous. The basic cause for uveitis is not undetermined in most incidents; which can be due to some systemic diseases.Treatment is aimed to treat the cause, decrease the inflammation and reduce complications. Uveitis may be a recurrent disease and the treatment may go on for a long time.

To know more Retina and Uvea services at MEC please click here.

Cornea is the transparent front-most part of the eye through which light enters the eye.  At Mahajan Eye Centre (MEC) we offer full range of corneal diagnostic and therapeutic services and expertise of reputed cornea specialists for management of various corneal ailments especially keratoconus and corneal transplantation. Keratoconus is a progressive eye disease in which the normally round cornea thins and begins to bulge into a cone-like shape.

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Corneal Topography and Other Diagnostic Investigations

At MEC, we offer the latest corneal imaging modalities: Pentacam (Scheimpflug imaging system-Oculus, Germany) and Atlas (Placido topography system-Humphrey, USA) for in-depth study of corneal surface shape to diagnose and monitor progression of even the earliest cases of keratoconus and other corneal diseases. Pentacam is special as it gives detailed analysis of the back surface of cornea as well which is usually not available with traditional topography tests. We also have ultrasonic pachymetry (Sonomed, USA) for corneal thickness measurement and anterior segment OCT (Optical Coherence Tomography) (Zeiss, Germany) for detailed corneal study.

Atlas Topography Report

Oculus Pentacam

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Corneal Collagen Crosslinking (CXL/ C3R)

At MEC, we also offer CXL or C3R. It is a relatively new form of therapy for keratoconus patients, which aims at arresting the progression of keratoconus by strengthening the corneal architecture. It involves treating the cornea with high concentrations of vitamin B (Riboflavin) followed by exposure to UV light. The treatment induces cross linkage of corneal collagen fibers at the molecular level. It also aids in better contact lens fitting in these patients and reduces the need for major surgeries like corneal transplantation.

CXL/ C3R Procedure

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Intra-corneal Ring Segments (Intacs/ KeraRings)

Eyes with keratoconus often have cylindrical errors that cannot be completely corrected with glasses. Thus, large semi-soft gas-permeable lenses are the mainstay of treatment for eyes with keratoconus. These will be required even after C3R treatment (because C3R only helps to prevent the further progression of keratoconus). However, in patients with advanced keratoconus, the considerable cylindrical error may not allow even a contact lens fitting.

To reduce these large cylindrical errors seen in keratoconus, specially designed plastic ring segments may be surgically implanted in the cornea, to significantly reduce the cylindrical error enabling good contact lens fit and improve the quality of vision.

Intacs

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Corneal Transplantation

Advanced cases of keratoconus and many other corneal ailments may require corneal transplantation. It is a surgical procedure where a damaged or diseased cornea is replaced by the donated corneal tissue (the graft) in its entirety (penetrating keratoplasty) or in part (lamellar keratoplasty). MEC is an authorized corneal transplantation centre (GNCT Delhi). MEC also offers latest automated lamellar corneal transplantation for DSAEK or ALTK using advanced corneal microkeratome system form Gebauer, Germany.

Corneal Transplantation Schematics

Gebauer SLc Microkeratome System

To know more Cornea and Keratoconus services at MEC please click here.

Glaucoma is a group of diseases affecting the optic nerve (nerve that carries visual signals from eye to brain) that results in vision loss and is frequently characterized by raised intraocular pressure (IOP). Glaucoma may not cause loss of central vision initially but will lead to loss of peripheral field of vision.If not treated in time, it may result in irreversible and permanent loss of vision.

Pattern of vision loss in Glaucoma

At Mahajan eye Centre (MEC), we are equipped with latest technology and expertise to manage all type of Glaucoma cases. We always screen all our patients of Glaucoma in order to detect it early so that progression of disease can be halted. We adequately evaluate all glaucoma patients with help of tonometry (IOP Measurement- Applanation), ophthalmoscopy/ disc photo (Optic Nerve Head Evaluation), gonioscopy (Anterior Chamber Angle Evaluation) and pachymetry (Corneal Thickness Measurement). In addition, we offer specialized Glaucoma tests like automated perimetry for visual field analysis with Humphrey Field Analyzer 740i with glaucoma progression analysis (GPA) software. Additionally, we also have OCT (Optical Coherence Tomography) from Zeiss, Germany with special Glaucoma Protocol for RNFL (Retinal Nerve Fibre Layer) and Optic Nerve Head Analysis. Additionally, both OCT and Pentacam may be helpful in study of anterior chamber angle parameters.

Humphrey HVF 740i

Cirrus OCT RNFL analysis

Anterior Chamber Angle Analysis

At MEC, we offer medical therapy, laser therapy as well as corrective surgery including trabeculectomy, implants and valves for glaucoma management. Normally most of our patients, do well with glaucoma medication or laser only; however, in uncontrolled cases we may have to go for surgical treatment.

Trabeculectomy Surgery Schematics

Glaucoma Valve Surgery Schematics

Whenever the diagnosis of glaucoma is in doubt and the patient is labeled as “glaucoma suspect” or whenever any treatment is advised to a diagnosed case of glaucoma, it is imperative that patient that patient is put on continuous follow-up for detecting any progression. At MEC, we offer glaucoma progression analysis on both field analysis and OCT-RNFL analysis.

To know more Glaucoma services at MEC please click here.