Dr. Bipasha Mukherjee

Director, Department of Orbit, Oculoplasty, Reconstructive & Aesthetic Surgery, Medical Research Foundation, Sankara Nethralaya, Chennai

5 articles

Dr. Bipasha Mukherjee completed her fellowship in Orbit & Oculoplasty from Aravind Eye Hospitals, Madurai, under Dr. Usha Kim, and ICO fellowship from University of Limoges, France, under Prof. Jean-Paul Adenis. She has undergone clinical observerships with Jack Rootman, Richard Collins, Mark Duffy, and Robert Goldberg. She currently heads the Orbit, Oculoplasty, Aesthetic & Reconstructive services in Sankara Nethralaya, Chennai. She has had numerous presentations in national and international conferences and publications in peer reviewed journals. She is the principal editor of the book on Emergencies of the orbit and adnexa with Dr. Hunter Yuen. Her areas of interest include diseases of the orbit & adnexa including tumors; lacrimal surgery; socket reconstruction; traumatic orbital & adnexal injuries. She is an enthusiastic teacher of residents and fellows. Her hobbies include traveling and photography.

  1. Articles 2 Apr 2021 11 min read

    DCR: When You Start,Do It Right !!

    Introduction: Dacryocystorhinostomy (DCR) is a procedure wherein an alternate passage is created between the lacrimal sac and nasal mucosa through a bony ostium, bypassing the normal lacrimal pathway. Indications: 1. Persistent congenital lacrimal duct obstruction unresponsive to conservative management. 2. Primary acquired nasolacrimal duct obstruction (PANDO). 3. Secondary acquired nasolacrimal duct obstruction (SALDO). Types: DCR can be classified as either external or internal. In external DCR the bone of lacrimal sac fossa is accessed through a cutaneous incision over the medial canthus. In internal DCR the normal openings around the lacrimal outflow system ( puncta, canaliculus, nasal cavity) are utilized to create the passage between the lacrimal sac and nasal cavity, without any skin incision. Internal DCR is most commonly performed through an endonasal approach and can be performed by using roungers, drills and even lasers. Endonasal DCR s can be performed either under endosco

    Dr. Md. Shahid Alam · Dr. Bipasha Mukherjee
  2. Articles 2 Apr 2021 23 min read

    The Lacrimal Apparatus

    Development of the lacrimal secretory apparatus: The lacrimal gland develops from solid ectodermal buds in the anterior superolateral part of the orbit. The gland does not start functioning fully until approximately 6 weeks after birth. Newborn infants do not produce tears while crying. Development of the lacrimal excretory system: The Nasolacrimal duct opens in the inferior meatus of the nose. Failure of the caudal end to canalize at birth results in congenital nasolacrimal duct obstruction, which resolves spontaneously in the majority of cases within 4-6 weeks of birth. Anatomy of the lacrimal system: The lacrimal secretory apparatus Tears are secreted by the main and accessory lacrimal glands. The main lacrimal gland is located in the lacrimal gland fossa in the superotemporal quadrant of the orbit. The lacrimal gland has two lobes, the larger almond-shaped orbital, and the smaller palpebral lobe. These lobes are divided by the lateral horn of the levator aponeurosis. The palpebral

    Dr. Jayant Kadaskar · Dr. Md. Shahid Alam · +1 other
  3. Articles 1 Apr 2021 15 min read

    Authorship

    “With great power comes great responsibility” Stan Lee in Spiderman Introduction: Publications represent the three ‘R’s of modern times– recognition, respect, and revenue, for anyone in the field of science and research. Authorship has become the currency of the current generation and a measure of one's status in the international scientific community. The number of papers published, the journals in which they are published, and their ranking on the list of authors is all crucial when it comes to promotions, funding and market value in the employment exchange. The ‘publish or perish’ culture has become our survival mantra. However, as Rennie, Deputy Editor of the Journal of the American Medical Association put it: “the coin of publication has two sides: credit and accountability.”1 Authorship is also the fulfillment of great responsibility. It is indeed unfortunate that many authors are not aware of, or choose to disregard this obligation to see their names on print, whatever be the co

    Dr. Bipasha Mukherjee
  4. Articles 1 Apr 2021 4 min read

    Ten Pearls for Eyelid Tear Management

    1. Key Points Eyelid injuries may be associated with ocular, orbital, and even intracranial injuries hence always rule out associated systemic trauma, occult globe injuries, or traumatic optic neuropathy. Globe involvement has been reported to be around 61% with eyelid injuries. Management of intra-ocular or systemic injuries takes precedence. The presence of orbital fat in the wound indicates the orbital septum has been breached and the repair requires a higher level of expertise to prevent postoperative complications. Laceration in the medial aspect of the eyelids is likely to involve the canalicular system. It is a myth that upper canalicular tears can be left unrepaired. In case the primary surgeon lacks knowledge or expertise in these structures, a prompt referral to an experienced oculoplastic surgeon would prevent any significant and long-lasting cosmetic was well as functional complications. Since the tissues retract along the fibers of orbicularis oculi, the eyelid defect may

    Dr. Bipasha Mukherjee
  5. Students Gallery 5 Apr 2020 11 min read

    Sutures & Needle

    Introduction: The goals of wound closure include obliteration of dead space, even distribution of tension along deep suture lines, maintenance of tensile strength across the wound until tissue tensile strength is adequate, and approximation and eversion of the epithelial portion of the closure. Methods for mechanical wound closure include staples, tape, adhesive, and sutures. Each method has specific indications, advantages and disadvantages. Suture closure permits primary wound healing. Tissues are held in proximity until enough healing occurs to withstand stress without mechanical support. Skillful wound closure requires not only knowledge of proper surgical techniques but also knowledge of the physical characteristics and properties of the suture and needle. SUTURES: Suture selection is dependent on the anatomic site, surgeon's preference, and the required suture characteristics. The main consideration in needle selection is to minimize trauma. Suture qualities Ideal suture characte

    Dr. Pratheeba Devi · Dr. Bipasha Mukherjee