Department of Ophthalmology

INTRODUCTION

Eyes are important to appreciate the beauty of this world and cost effective and comprehensive evaluation and management of eye diseases is an essential key to the healthy eyes. With the high aims and objectives, Prof. Tayyaba Gul Malik, head of Ophthalmology department of Ameer u din Medical college and Lahore general hospital, took up the laborious task of effectively running and developing this department. With the dedicated team of experienced faculty, the department has acquired expertise to treat a wide range of patients with various types of eye diseases. It is one of the leading Ophthalmology Units in Punjab with the cutting-edge technology to provide comprehensive and sub-specialty services to the patients.    
Well-organized and intelligently managed this department, is composed of three units. Unit I is led by Prof. Tayyaba Gul Malik, who is a comprehensive ophthalmologist with special expertise in corneal diseases. Unit II is supervised by Prof. Hussain Ahmad Khaqan, who is well-known for his Vitreo-retinal services and expert catering for all complicated retinal disorders. Unit III is supervised by Prof . Tehmin Jahangir.
Along with the high volume services to patients with diverse ocular pathologies, there is a dedicated Ophthalmology Diagnostic center efficiently run by the trained personnel. Believing in prevention has led to the establishment of Retinal screening services in the Diabetic Medical Center of the hospital and a Retinopathy of Prematurity services in the Neonatology department. 
 

Ophthalmology Unit-I

Ophthalmology Unit-I is one of the leading Ophthalmology units in the province with availability of latest machinery and provision of different sub-specialty services to the patients. This 31 bedded unit is headed by Prof. Tayyaba Gul Malik who is a comprehensive ophthalmologist with special expertise in corneal diseases. Dr. Sana Jahangir is working as Assistant Professor in the unit and Dr. Lubna Siddiq and Dr. Adeel Chaudhry are the Senior Registrars. Total number of postgraduate trainees in the department enrolled in different training programs is 16. The Department is renowned for its vitreoretinal subspeciality which caters for all complicated retinal disorders. Advanced Oculoplastic and Orbital surgeries are also offered here providing high volume service. Anterior segment surgery is also done using the most advanced machinery. A dedicated Ophthalmology Diagnostic Center is established in the unit, equipped with latest machinery. As prevention is better than cure, retinal and glaucoma screening services are provided in the department. Retinopathy of Prematurity Screening Service is also provided in the Neonatology Department as well as in the ROP clinic Ophthalmology OPD. Advanced treatment for Retinoblastoma is also provided in the department. We are the one of the few centers in Pakistan who perform intra-arterial chemotherapy for retinoblastoma in collaboration with Dr. Umair Rashid in the Department of Neuroradiology. We offer two Level IV subspecialty fellowships in ophthalmology in our department which include Fellowship in Vitreo-retina and Fellowship in Orbit and Oculoplastics. The department is responsible for teaching and training of undergraduate and postgraduate medical students and nursing staff. Teaching of postgraduate trainees comprises of bedside teaching, seminars, lectures, journal club, CPC, presentations and surgical training under supervision. A dedicated Ophthalmic Wet Lab is available for surgical training of residents in basic & advanced skills. The Department is recognized by College of Physicians and Surgeons Pakistan for FCPS and MCPS training in Ophthalmology and subspecialty fellowship in Vitreo-retinal Surgery. Postgraduate trainees enrolled in MS Ophthalmology, MS Oculoplasty and DOMS programs run by the University of Health Sciences are also catered in the department. The unit has two OPD days per week and on average 200-250 patients are seen per day (approximately 20,000 per year). Admission rate is about 50-60 patients per week. The average number of surgeries performed per year is approximately 2000-2500. Unit I also treats approximately 8,000-10,000 emergency patients per year. Original articles are published quarterly in the department in peer reviewed journals. Various research projects are carried out in the unit throughout the year. The department also hosts various workshops and seminars for ophthalmologists all over the country.
 

Ophthalmology Unit-Il

Eves are important to appreciate the beauty of this world and cost effective and comprehensive evaluation and management of eye diseases is an essential key to the healthy eyes. Carrying high aims and objectives, Dept. Ophthalmology unit-2 is headed by Dr. Hussain Ahmad Khagan. Unit-2 is a l7-bedded teaching unit of Lahore general hospital, Lahore. Dr Arooj Amjad is working as Senior registrar in the department. This unit is recognized for FCPS, MS and DOMS training grams. There are nine devoted post-graduate residents in the unit who are working day and nignt to cater the high volume of patients with ocular diseases, There are two OPDs per week/ Monday and Thursday) with an average of 300-400 patients visiting per OPD. 

Out-patient department has facilities ranging from management of basic ophthalmic diseases to state of the art disgnostic and management potential. On average, there are eight elective operation lists (every Tuesday and Friday) per month in which thousands of major and minor procedures are performed every year.

Glaucoma clinic is being held every Wednesday where complete evaluation and management of glaucoma patients is done. This unit has an elaborated, structured and well-organized training, teaching and evaluation programs for post graduate and undergraduate students as well as the house officers. There are weekly lectures, journal clubs and clinical case discussions as well as monthly multi-disciplinary meetings. Monthly tests are conducted for the formative assessment of post-graduate residents. There is an online library where thousands of books are available 24/7 for academic group discussion of residents. Currently 10 research projects are going on in this unit. For the next five-year plan, we thrive to strengthen our department in all fields of ophthalmology and our future scientific goals are:

  • To start specialist cornea Services in the department for which the work has been initiated. 
  • To collaborate with national and international research centers for innovative research.
  • To expand diagnostic and surgical services in all sub-specialties. 
  • To start small research projects for the undergraduate students to involve them in writing and publication.

Ophthalmology Unit-lll

General Hospital is actively contributing its share in the progress of Ophthalmology department. It is a 21 bedded unit headed by Professor Tehmina Jahangir. Dr. Ali Haider is working here as Assistant Professor and Dr. Aamna Jabran as Senior Registrar. We have a dedicated team catering for the needs of a large volume of ophthalmic patients. Total number of postgraduate trainees in the department enrolled in different training programs is 10. Teaching of postgraduate trainees comprises of bedside teaching, seminars, lectures, journal club, CPC, presentations and surgical training under supervision. A dedicated Ophthalmic Wet Lab is available for surgical training of residents in basic & advanced skills. The Department is recognized by College of Physicians and Surgeons Pakistan for FCPS and MCPS training in Ophthalmologv and subspecialty fellowship in Vitreoretinal Surgery. Postgraduate trainees enrolled in MS Ophthalmology and DOMS programs run by the University of Health Sciences are also catered in the department. We conduct Preparatory Courses for FCPS part 2 candidates and for VR Trainees. The Department is renowned for its vitreoretinal subspecialty which caters for all complicated retinal disorders.

Anterior segment surgery is also done using the most advanced machinery. A dedicated Ophthalmology Diagnostic Center is established in the unit, equipped with latest machinery. 

As prevention is better than cure, retinal and glaucoma screening services are provided in the department. Pediatric Ophthalmology services like Retinoblastoma treatment, PHPV and Retinopathy along with Prematurity Screening Service is also provided in the Neonatology Department as well as in the ROP clinic in Ophthalmology OPD. On each of our two OPD days, an average of 200- 250 patients are examined (20,000 per year) and the total number of surgeries performed per year is approximately 1500-2000. Admission rate is about 30-40 patients per week. Unit 3 treats approximately 5000 emergency patients per year. In addition to routine anterior segment surgery, we offer advanced vitreo-retinal surgery to our patients. 

Excellent ophthalmic diagnostic and laser facilities are also available for the patients. Original articles are published quarterly in the department in peer reviewed journals. There are many publications in National and International Journals. Various research projects are carried out in the unit throughout the year. The department also hosts various workshops and seminars for Ophthalmologists all over the country.

 
 

INFRASTRUCTURE

It is a 60-bedded tertiary care, teaching unit, comprising of male and female wings of 30 beds each, responsible for caring all types of eye patients admitted through OPD or Emergency. There are 6 wards, 3 for males and 3 for females, operation theatre complex, laser room and 13 OPD rooms for screening, diagnostics and specialist clinics. 
There are three offices for professors, one for associate professor, three for medical officers and a common room. Separate computer room and conference hall along with departmental library are also included in the department. 
 

EDUCATION/COURSES OFFERED

The department is responsible for teaching and training of undergraduate and post- graduate medical students and nursing staff. The department is recognized by all examining bodies and PMC for House job training. Post-graduate courses include:
  • FCPS / MCPS in Ophthalmology
  • FCPS in Vitreo-retina
  • FCPS in Oculoplastics
  • FRCS teaching and training program in Ophthalmology
  • MS Ophthalmology (UHS)
  • DOMS by (UHS)
Teaching of postgraduate trainees comprises of bedside teaching, seminars, lectures, journal club, CPC and surgical training under supervision. 
 

DEPARTMENTAL LIBRARY

We have a handsome collection of Ophthalmic books in departmental library, which include invaluable selection for ophthalmologists, FCPS/MCPS trainees and under graduates. There is also access to national and online international journals to keep the residents and faculty abreast with the latest advancements in Ophthalmology.
 

FIVE-YEAR PLAN

We thrive to strengthen our department in all fields of ophthalmology and our scientific goals for the next five years are: 
  • To start specialist cornea services in the department
  • To collaborate with national and international research centers for innovative research 
  • To expand diagnostic and surgical services in all sub-specialties
  • To start small research projects for the undergraduate students to involve them in writing and publication.
 

FELLOWS AND RESIDENTS

Unit I

 

Unit II

 

Unit III

  • Dr. Tahir Muazzam
  • Dr. Awais afzal
  • Dr. Muhammad Muneeb
  • Dr.Umer Farooq
  • Dr. Ayesha Ghafoor
  • Dr. Junaid Ahmed Hashmi
  • Dr. Mehreen Akram
  • Dr. Iqra Qureshi
  • Dr. Zukhruf Ijaz
  • Dr. Iqra Alsam
  • Dr. Nauman Ahmed
  • Dr. Shuja-ur-Rehman
  • Dr. Muhammad Baksh Khalid
  • Dr. Muhammad Shahzad Afzal
  • Dr. Nauman Naeem
 
  • Dr. Sara Riaz
  • Dr. Hassan Tariq
  • Dr. Marya Shahid
  • Dr. Muhammad Shah
  • Dr. Muhammad Farqaleet
  • Dr. Fatima Khalid
  • Dr. Hassan Javed
  • Dr. Mahtab Haider
  • Dr. Sajeela Saman 
 
  • Dr. Raheela Naz
  • Dr. Mehreen Afzal
  • Dr. Saleem Ullah
  • Dr. Usman Zia
  • Dr. Sidra Jamil
  • Dr. Laraib Hassan
  • Dr. Nabeel Akram 
  • Dr. Usman Mumtaz
  • Dr. Hafiz Mubashir
  • Dr. Hasnain Muhammad Buksh
  • Dr. Abdul Samad 
         

 

 ONGOING RESEARCH PROGRAMS

The department is also active in research activities. Current research topics include: 
  • Comparison between efficacy (anatomical attachment and BCVA) of SF6 gas vs filtered air after PPV in fresh RRD
  • Efficacy of suprachoroidal triamcinolone acetonide for diabetic macular edema
  • Comparison of outcomes of endonasal vs external DCR
  • Comparison of efficacy between dorzolamide/timolol vs brinzolamide/brimonidine in lowering IOP in primary open angle glaucoma
  • Prophylactic effect of dorzolamide timolol combination on IOP spikes after intra vitreal bevacizumab injection
  • Mean RNFL thickness in patients with papilledema on OCT
  • Clinical outcomes of Ahmed glaucoma valve implantation in pediatric glaucoma and comparison of AGV implantation in phakic and aphakic eyes 
  • Change in RNFL thickness after intra vitreal bevacizumab injection in diabetic macular edema
  • Changes in anterior chamber parameters after phacoemulsification, an anterior segment OCT based study
  • Comparison between intra vitreal ranibizumab vs bevacizumab for treatment of retinopathy of prematurity
  • Comparison of outcomes of endonasal DCR with or without adjunctive use of mitomycin C
  • Frequency of ocular hypertension and glaucoma in Pseudo-exfoliation
  • Effect of phacoemulsification on measurement of GCC changes and optic nerve head parameters using spectral domain OCT
  • Comparison of changes in RNFL thickness by spectral domain OCT in glaucoma and non glaucoma patients after phacoemulsification
  • Short term effect of ND YAG laser capsulotomy on macular RNFL thickness and IOP
  • Variability in central macular thickness after phacoemulsification in non-insulin dependent diabetics with and without retinopathy
  • The effect of intra vitreal injection bevacizumab on fellow eye in a patient with bilateral diabetic macular edema
  • To study the role of mitomycin C in primary pterygium surgery for prevention of recurrence
  • Comparison of visual acuity in PPV with silicon oil endo-tamponade for RRD PVR C with and without injection enoxaparin sodium
  • Comparison of treatment outcome of systemic chemotherapy vs intra-arterial chemotherapy for retinoblastoma
  • Diagnostic accuracy of OCT to detect cystoid macular edema in patients with diabetes mellitus taking FFA as gold standard
  • Treatment outcomes of primary six cycles of intravenous chemotherapy for retinoblastoma in terms of recurrence in a tertiary healthcare hospital
  • Comparison of outcome of the patients with diabetic macular traction with RD treated with 23 vs 25 gauge micro-incision vitrectomy surgery
  • Comparison of diagnostic accuracy of OCT and FFA to diagnose CME diabetes

 

Faculty Unit I


Dr. Tayyaba Gul Malik
Professor of Ophthalmology
Head of the Department (Unit I)

   

Dr. Sana Jahangir
Assistant Professor

Dr. Lubna Siddiqui
Senior Registrar
   

Dr. Adeel Chaudhry
Sr. Registrar
 
   

Faculty Unit I

   


Dr. Hussain Ahmad Khaqan 
Professor of Ophthalmology
Head of the Department (Unit II)


Dr. Arooj Amjad

Senior Registrar

Faculty Unit III


Prof Tehmina Jahangir
Professor of Ophthalmology
Head of the Department (Unit III)


Dr. Muhammad Ali Haider 
Assistant Professor


Dr. Aamna Jabran
Senior Registrar