Departments That We Provide

Clinical Examination and Investigation

The department offers specialized investigations for accurate diagnosis and treatment planning, including:

1. Hess Chart – for assessment of ocular motility and extraocular muscle function.
2. Prism Cover Test – for detection and quantification of strabismus.
3. Syringing & Probing Test (SPT) / Sac Patency Test – to evaluate lacrimal drainage function.
4. Optical Coherence Tomography (OCT) – high-resolution imaging of retinal and anterior segment structures.
5. Ultrasound Biomicroscopy (UBM) – for anterior segment tumor and structural evaluation.
6. B-Scan Ultrasonography – for orbital and intraocular pathology detection.
7. Anterior Segment Photography – for documentation and progression monitoring.
8. Lacrimal System Assessment – complete evaluation of lacrimal pathway obstruction.
9. Growth Assessment – monitoring size and progression of orbital/ocular tumors or lesions.
10.  Proptosis measurement by Hertel’s exopthalmometer

Procedures

The department provides minimally invasive and therapeutic procedures including:

1. Botulinum Toxin (Botox) Injection – for blepharospasm, hemifacial spasm, and strabismus.
2. Intralesional & Periocular Steroid Injections (Triamcinolone Acetonide - TA) – for orbital and eyelid lesions.
3. Retinoblastoma Staging – clinical and radiological staging for treatment planning.
4. Laser & Thermotherapy – for intraocular tumor ablation.
5. Diagnostic Biopsy – incisional or excisional biopsy for histopathological confirmation.

Surgical Services

The department provides comprehensive oculoplastic, orbital, and oncology surgical care:

1. Correction of Ptosis and Strabismus (Squint Surgery).
2. Dacryocystorhinostomy (DCR): Laser and conventional techniques.
3. Lid Repair & Reconstructive Surgeries – for trauma, tumor excision, and congenital anomalies.
4. Blepharoplasty, Entropion & Ectropion Correction.
5. Electrocautery – for management of trichiasis.
6. Orbital Fat/Bone Decompression – for thyroid eye disease and orbital pressure relief.
7. Orbital Volume Augmentation – for anophthalmic socket and enophthalmos correction.
8. Artificial Eye (Ocular Prosthesis) Implantation.
9. Orbital Fracture & Trauma Management.
10. Tumor Removal: Incisional/Excisional Biopsy, Frozen section biopsy of orbital, eyelid, and intraocular tumors.
11. Punctoplasty & Punctal Occlusion Procedures – for lacrimal drainage abnormalities.

Oculoplasty & Oncology Services – Treatment Plans & Strategies

The department at NIOH focuses on a multidisciplinary approach, integrating ophthalmologists, Medicine specialist, ENT specialist, Neurologist, Paediadrician, oncologists, radiologists, and pathologists for comprehensive care.

• Early Detection & Diagnosis: Screening and advanced imaging for early identification of orbital and ocular tumors.
• Customized Treatment Planning: Patient-specific strategies combining medical, surgical, and rehabilitative approaches.
• Reconstructive & Cosmetic Rehabilitation: Ensuring both functional and aesthetic outcomes for patients.
• Integrated Oncology Care: Staging, tumor board discussions, chemotherapy/radiotherapy referrals where required.
• Patient Support & Counseling: Psychological support and rehabilitation for patients with disfiguring ocular conditions.
• Training & Research: Continuous development of expertise, resident training, and clinical research on orbital and ocular oncology diseases.
• Medical board: Treatment by forming medical board in special cases.