Speciality Services

Particular sub-speciality of Ophthalmology

Lifestyle diseases such as diabetees and hypertension are rising with an associated increase in vitreo-retinal problems leading to blindness. In Nepal, problems like age related macular degeneration, retinal detachment, dystrophy and retinal drug toxicity are also common.

The Vitreo-Retinal Clinic at TIO has the necessary infrastructure, trained personnel and the capacity to handle a large number of patients suffering from retinal problems.

The following diagnostic procedures are available at TIO’s Vitreo-Retinal Clinic;

  1. Fundus Photography
  2. Diagnostic Ophthalmic Ultrasonography
  3. Fundus Fluorescein Angiography (FFA)
  4. Optical Coherence Tomography (OCT)
  5. Electophysiological tests

The clinic also provides;

  1. Laser Therapy
  2. Intravitreal injections of steroids and anti-vascular endothelial growth factor
  3. State of the Art modern vitreo-retinal surgery for various VR conditions.

The establishment of a Pediatric Clinic had been a priority of TIO since its inception. There are currently two pediatric doctors at Tilganga and in early 2012 the clinic was expanded and renovated child-friendly facilities were opened.

Nepal has a high rate of childhood blindness and early detection of visual errors in little ones is seen as crucial to eliminating long term eye problems.

The pediatric ophthalmology clinic focuses on early diagnoses and treatment of different types of amblyopa-refractive, anisometropic, stimulation deprivation and strabismic amblyopia.

Surgical management of strabismus, pediatric cataract, penentrating and perforating injuries in children are all managed under general anesthesia.

Xerophthalmia and corneal ulcers due to Vitamin A deficiences and ophthalmia neonatorum are treated on an emergency basis at TIO.

Regular community outpatient and school screening services are conducted throughout Nepal.

TIO has a separate wing for glaucoma services to provide regular and extended care.

Patients with glaucoma need to be followed up and their condition monitored.

About 170-200 patients attend the Glaucoma Eye Clinic at Tilganga on a weekly basis.

TIO recognised some years ago that the glaucoma unit needed to provide services beyond basic glaucoma care to patients, such as community screening, opthalmic assistant training, patient education and public awareness programs.

As a result free education programs on glaucoma awareness are held throughout the year (usually once every two months).

A Glaucoma Support Group has also been established by TIO which helps the poor with medicines and surgery. Glaucoma Awareness Week is held in March of each year.

The Orbit, Plastic and Lacrimal Clinic (OPAL) was established in 2004.

Maintining vision by protection of an eyeball and the proper function of the orbital adenexa, as well as cosmesis to functioning eye and oribit, is its main function.

For patients with disfiguration of eye lids and orbit, vision threatening ocular conditions and ocular and orbital tumours the OPAL service is available.

TIO has seen a significant increase in the number of patients being treated for orbital surgery.

Treatments offered at the OPAL Clinic include plastic and reconstructive surgery for conditions such as droopy eyelids (ptosis), inward turning eyelids (entropion), blocked tear ducts, and thyroid eye disease.

The OPAL Clinic also offers cosmetic and aesthetic treatments for various problems such as facial lines and wrinkles and surgery for baggy eyelids and drooping eyebrows.

Botulinum toxin injections for facial wrinkles and essential and hemifacial spasm is carried out at TIO regularly.

The Uveitis Clinic, which operates five days a week, has become very busy. TIO receives a large number of uveitis patients who have been referred from other eye centres in Nepal and from neighbouring India.

It is run by one uveitis specialist who deals with all sorts of presentations, namely, intraocular inflammation like anterior, intermediate, posterior and panuveitis, along with scleritis, sclerouveitis or keratouveitis.

Various types of endophthalmitis are also managed medically and surgically in co-operation with the retina unit. Complicated uveitic cataract is also managed at TIO.

infectious diseases like tubercuosis and leprosy are still prevalent in Nepal, and an increase in HIV infection and syphilis in the community has meant a spike in the number of uveitis cases presenting at the clinic.

Various supportive tools in the diagnosis and management of uveitis cases are available at TIO. These include the microbiology and pathology laboratory, ocular (anterior segment and fundus) photography, fundus fluorescein angiography (FFA), and optical coherence tomography (OCT).

Besides steroid therapy, various immunosuppressive therapies, laser therapy and intraocular anti-VEGF injections are also provided by the uveitis clinic.

Patients with neuro-ophthalmic problems are being identified in higher numbers due to the increase in facilities for diagnosis and treatment.

Cranial nerve palsy, optic neuritis, ischemic optic neuropathy, optic atrophy, myasthenia gravis and various kinds of brain tumours are just some of the frequently seen neuro-ophthalmic diseases.

TIO will soon establish a  separate neuro-ophthalmology clinic with its own specialists.

Tilganga Institute of Ophthalmology now extends its ophthalmic service with tertiary level low vision and visual rehabilitation service. This service was being provided at primary level since the establishment of TIO.

Low vision  is bilateral reduction in visual acuity which impairs ones work and cannot be adequately corrected with medicine, surgery, therapy, conventional spectacles and contact lenses. It mostly includes the loss of sharpness in acuity, loss of contrast sesitivity, reduced field of vision, increased sensitivity to light and distortion of image.

Services available:

  • Comprehensive Low Vision evaluation
  • Prescription of Optical Devices
  • Prescription of Non-Optical Devices
  • Environmental Modification
  • Training patients in use of Low Vision Devices
  • Training on Visual Ergonomics
  • Training on Daily Living Skills
  • Orientation and Mobility Training
  • Educational, Vocational and Professional Counseling

Contact lenses have been around for more than a hundred years. During that time, much advancement has allowed just about everyone to wear contact lenses.

Contact lenses like eye glasses can correct your nearsightedness, farsightedness and astigmatism. They can provide  a full field of unobstructed vision which is great for sports.

The contact lens clinic provides services with a wide range of lenses like:

  • Rigid Gas Permeable (RGP) contact lens
  • Soft spherical contact lens
  • Soft toric contact lens
  • Soft edge RGP contact lens
  • Multifocal contact lens
  • Bandage contact lens
  • Prosthetic contact lens
  • Cosmetic contact lens

OPD Weekly Schedule

SUB-SPECIALITY SERVICE

  • Cornea
  • Pediatric
  • Uveitis
  • Retina Glaucoma Opal
  • Neuro
  • OPAL
  • Pediatric
  • Retina
  • Cornea
  • Glaucoma
  • OPAL
  • Uveitis
  • Retina
  • Cornea
  • Glaucoma
  • Uveitis
  • Retina
  • Cornea
  • OPAL
  • Uveitis
  • Retina
  • Cornea
  • Glaucoma
  • OPAL
  • Uveitis
  • Retina
  • Neuro

More Services

Check out other services at TIO

General Services

An OPD (outpatient department) is where modern ophthalmic care is given to the general public. From TIO's inception to-date interventions and modalities such as modern cataract, corneal transplant, glaucoma surgeries, vitreo-retinal surgeries, orbital surgeries, strabismus surgery and refractive surgery have been offered.

Laser Eye Surgery

Tilganga’s Refractive Surgery Unit opened in January 2012 and offers the latest in laser technology for the correction of corneal problems. It has been developed with TIO partners to become a leader in laser surgery in the developing world.

Eye Bank

The Nepal Eye Bank at TIO is an unprecedented facility in Nepal. The concept of the Eye Bank was supported by the International Federation of Eye and Tissue Banks (IFETB), before TIO was even built in 1994.

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