Edited by Dr SS Badrinath
Chairman Medical and Vision Research Foundation Chennai
Co-editor Prema Padmanabhan
Medical and Vision Research Foundation Chennai
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Sankara Nethralaya Clinical Practice Patterns in Ophthalmology
© 2004 Sankara Nethralaya
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 2004
9788180612367
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
To
Our teachers for showing us the way,
And our patients who teach us everyday,
To our students whose questions keep us
stimulated,
7Preface
“Let the word Sankara of Sankara Nethralaya ever remind me and my associates, His Holiness’ command that there be missionary spirit in the project. Let the word Nethralaya constantly remind me and my colleagues that the place of our work is an alaya. Work will be our worship which we shall do with sincerity, dedication and utmost love”.
Ever since this sacred pledge was taken 25 years ago, “Comprehensive Eye Care” has been the insignia of Sankara Nethralaya. In order that we maintain the standards we have set for ourselves, we need to constantly update ourselves and upgrade our services to our patients. To ensure ‘comprehensive care’ in ophthalmology today, we often need to adopt a collaborative team approach and to maintain ‘quality’, we need to standardize that approach.
As the title suggests, this summarizes our approach at Sankara Nethralaya to the management of clinical entities commonly encountered in our ophthalmic practice. It is not intended to be a formal textbook, nor is it meant to imply that other methods of treatment prescribed and practiced elsewhere are incorrect. The endeavour has been to create guidelines that are rational, practical and relevant to the Indian context. It combines the time tested recipes of a 25-year clinical experience at Sankara Nethralaya with updated concepts of evolving thought processes all over the globe.
This compendium has been the result of a collective work of all the consultants of Sankara Nethralaya. On the occasion of the 25th anniversary of Sankara Nethralaya, we have great pleasure in sharing this with the ophthalmic community with the hope that it adds value and meaning to the quality of eye care rendered to our patients.
Editors