Modern cataract surgery is a marvel of a surgery. It can be done in just a few minutes. No injections or stitches are required, and the patient gets back to work in a few days. Risk of complications is rare and post cataract surgery recovery is quick. However, cataract surgery requires patients to lie down on the patient bed flat for some time. If for any reason someone cannot lie down flat on the bed, it can get challenging for even the best of cataract surgeons to perform a cataract surgery. To overcome this challenge, a customized positioning is done to allow the cataract surgeon to perform the cataract surgery.
Mr. Gangji Nagda who lives in Koperkhairne, is a 70 years old gentleman. He threw a very unique challenge to the best of the eye doctors and cataract surgeons in Mumbai and Navi Mumbai. Mr. Gangji Nagda is suffering from Ankylosing Kypho-scoliosis, a condition which causes his chest and neck spine to be curved forward abnormally. In Mr. Gangji’s case, it was so severe, that his upper spine is permanently slumped forward like a C.
When age caught up with Mr. Gangji’s eyes and his eyesight deteriorated due to cataract, he went to see many reputed eye surgeons in Mumbai and Navi Mumbai. However, right from Vashi to Nerul to Panvel, cataract surgeons were flummoxed as to how they would operate on Mr. Gangji, a person whose head could not touch the operating table and face is at 60 degrees angle even after possible positioning? During a cataract surgery the patient has to lie flat on the table with head touching the table so that the microscope can then be focussed over the patient’s eyes for surgery.
Disappointed and exasperated, his son-in-law brought him to the Cataract Surgery Centre at Advanced Eye Hospital and Institute in Sanpada, Navi Mumbai. All the pre-surgery tests and check-ups were done, and the surgery was scheduled. Having been rejected so many times earlier, Mr. Gangji Nagda could not believe that he was finally going to be able to see clearly. “Sister, will I really be able to get rid of my cataract?” he kept asking the OT nurse even as he was wheeled into surgery.
A combination of advanced technology and sheer determination of the surgeon, Dr. Vandana Jain and operating staff helped achieve the impossible and the cataract surgery was finished successfully. With the modern advancements the patient bed was tilted, operating microscope was tilted, and the seating position of the cataract surgeon was elevated. All these manoeuvres allowed the cataract surgeon to perform the cataract surgery in a patient who could not lie down flat.
According to Dr. Vandana Jain, who operated on Mr. Gangji Nagda, it is often challenging to operate on patients like Mr. Nagda who are unable to lay down flat on the bed. She says, “We have to customize the solution during the cataract surgery based on the type and the degree of the disability. For Mr. Nagda, we started off by tilting the patient bed in the operation theatre and by placing pillows under Mr. Gangji’s neck so that his head could be rested on something. But doing so raised the height of Mr. Gangji’s eyes to such a level that I could not reach the microscope. So, I sat on a very high stool and tilted my back at an angle of 45 degrees. Even with all this the patient’s face was vertical causing the eye to be vertical. Surgeon needs the head to be resting flat on the table so that eye can be flat. Thanks to having the latest microscopes in our OT, we were able to swivel the microscope to the desired position and operate on Mr. Gangji Nagda while sitting on a very high stool and bending forward at an angle to reach the eye, something that was putting a lot of stress on my spine! Additionally, I used the instruments in my hand to push the eye up so that it became straight enough (horizontal) to see the cataract and operate.”
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When he was wheeled out of the surgery without any complications, the joy on Mr. Gangji Nagda’s face had to be seen to be believed and this was our reward for doing a challenging cataract surgery effectively.
According to Mr. Nagda, “I had this curved spine problem right from the time I was a small kid and I had learned to live with it. I never realised that getting a cataract surgery is going to be so challenging due to my back deformity. I went to so many cataract eye doctors only to get disappointed. At 2 places in Mumbai I was refused and at two other places in Navi Mumbai I was taken to the operation theatre and then send out as I could not be positioned properly for the cataract operation. I had given up all hope till I went to the Cataract Surgery Centre at Advanced Eye Hospital and Institute and met Dr. Vandana Jain. First, they made me lie down on a bed and studied my position and created a plan for my positioning during the cataract surgery. Dr. Jain assured me that they will be able to perform cataract surgery for me. I was very apprehensive but trusted her words as no one had earlier bothered to pre-check my position and create the plan for my positioning during the cataract surgery. During my cataract surgery, I was first positioned in multiple different ways and when the cataract surgeon Dr. Jain was satisfied she started the surgery. Even I had to maintain a particular position for some time. I was given no injections and the surgery got over in 10 minutes only. I got my other eye surgery also done after some time successfully by Dr. Jain. I am so thankful to God and feel wonderful that I have an amazing vision after my cataract surgery.”
About Dr Vandana Jain-
Dr Vandana Jain is a renowned Cornea, Lasik and Cataract surgeon and the Director of AEHI. Dr Jain has won best fellow awards and medals at Delhi University and L.V.Prasad Eye Institute and then further trained at Harvard, USA. Having performed more than 10,000 cataract operations, she has vast experience of dealing with all kinds of complicated cataract surgeries. According to her cataract surgery needs to be customised to the patient’s needs and physical disability. She additionally believes that team work and alliance with other specialists help in planning and giving the best cataract surgery results to the patients.
About Cataract surgery Centre
Cataract Surgery Centre at Advanced Eye Hospital and Institute in Navi Mumbai is one of the best cataract eye surgery hospitals in India. Diagnostic suits for pre-surgery measurements and check-up and the operation theaters are state-of-art and equipped with the best cataract surgery machines. Personalized care, infection free modular operation theaters and beautiful ambiance complement the cutting edge eye care offered at AEHI. Besides treating patients from Kharghar, Nerul, Vashi and Panvel, patients from all over western India travel to AEHI for world class cataract treatment.
If anyone of your family or you yourself needs evaluation for cataract, pls call us at 02267313636, we are open from Monday- Saturday 9:30am-7pm.