Dr. Chandrima Paul

Director, B B Eye Foundation, Kolkata ; Hony. General Secretary of the Glaucoma Society of India; President, The Kolkata Association of Ophthalmologists

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Dr. Chandrima Paul graduated and postgrauduated from Silchar Medical college in Assam. She underwent training at the glaucoma service of Moorfields Eye Hospital in London. She is a Fellow of the Royal College of Surgeons,Glasgow. She completed her PhD in Ophthalmology from the Regional Institute of Ophthalmology, Medical College and Hospital, Kolkata. She has been doing pioneering work on early diagnosis and progression in glaucoma in Eastern India. She has been an invited faculty for guest lectures and chaired glaucoma sessions at both National and International levels. She has presented papers at various national and international forums including the glaucoma sessions of the American Academy of Ophthalmology as well as the European Society of Cataract and Refractive surgery. She has been speaking at the glaucoma session of the ESCRS for the past six consecutive years. She was featured in the Special Focus section of the March 2009 edition of the Eurotimes with an article titled OCT can accurately predict the onset of glaucoma. Her article on RNFL analysis by OCT onto the next level for glaucoma diagnosis was published in the July 2009 edition of the Ophthalmology Times Europe. Apart from that her articles have also found place in national Journals like Highlights of Ophthalmology, Journal of Kerala Ophthalmological Society and the Bengal Ophthalmic Journal. She was a Free Paper Evaluator for glaucoma for the AIOS for three years. She is the recipient of the prestigious D B CHANDRA award of the All India Ophthalmological Society and the DR B.K.MITRA award of the Ophthalmological Society of West Bengal. Presently, she is a director and consultant at the glaucoma service of B B Eye Foundation, Kolkata, which is a centre for excellence in eye care in the eastern part of the country.

  1. Articles 18 Jul 2022 14 min read

    Optic Disc Evaluation in Glaucoma

    Glaucoma, by definition, is chronic, progressive optic neuropathy.[1-3] Structural damage to the optic nerve head (ONH) is a characteristic feature of glaucoma and precedes visual field loss in most cases. Para-papillary changes may also be observed in eyes with glaucoma. The mere presence of raised intraocular pressure is not glaucoma. Hence, the optic disc evaluation is the first and most important step in diagnosing glaucoma. [4, 5] Subjectivity and overlap in appearance of the normal and glaucomatous optic disc make ONH evaluation challenging. Subtle changes may also be missed easily. Adequate training and experience are required to determine minor abnormalities in the ONH accurately. [6] Examination of the optic disc Direct ophthalmoscopy, Slit lamp biomicroscopy with a handheld +66, +78 or +90 dioptre aspheric convex lens or Hruby lens, or a contact lens (Goldmann lens) or Indirect ophthalmoscopy may be done to examine the ONH. The pupil should be dilated prior to the examination