Dr. Ruchi Goel

Professor, Gurunanak Eye Center, Maulana Azad Medical College, New DelhiEmail:gruchi@rediffmail.com

3 articles

Prof. Ruchi Goel is a post graduate teacher at Maulana Azad Medical College, New Delhi since 2006. She is a volunteer faculty at ORBIS international. Author of Manual of oculoplasty, Jaypee publishers and ` Manual of SICS with focus on difficult situations and complications, CBS publishers, New Delhi. Has contributed > 100 articles in journals, >25 book chapters & 3 CME series by AIOS. Recipient of numerous academic awards like Dr. V.P Chadha Memorial university Gold Medal (Delhi University), Smt. Rukmani Gopala Krishnan Memorial Gold Medal (Delhi University), AIOS-APAO-Honavar award for best paper in lacrimal session, AIOS-IJO silver and Outstanding paper by International College of Surgeons.

  1. Articles 19 Jul 2021 14 min read

    Techniques of nuclear delivery in Manual small incision cataract surgery

    Manual small incision cataract surgery (MSICS) is now practiced in both developed and developing countries. It involves the extraction of a complete or divided nucleus from the capsular bag through the capsular opening and then through the sclero-corneal tunnel. A number of techniques of nuclear delivery have evolved over the time. These techniques have their own merits and demerits. However they give similar results in the hands of experienced surgeons. The methods are broadly classified as follows: Anterior chamber maintainer technique Microvectis technique Phacofracture technique Phacosandwich technique Fish hook technique Ruit's technique We shall now discuss the difference in steps involved in the various techniques. 1. Anterior Chamber Maintainer technique ( Blumenthal`s technique): Fixing the AC Maintainer (Anterior Chamber Maintainer) After the tunnel has been dissected with a crescent knife, two side ports are made with 19 or 20 G MVR knife, one for capsulotomy and the other f

    Dr. Ruchi Goel · Dr. KPS Malik
  2. Articles 2 Apr 2021 16 min read

    Management of Subluxated cataract

    Zonular compromise complicates every step of cataract surgery and poses a serious challenge in terms of safety and visual outcome. When the lens is displaced from its normal position, it is considered subluxated if it remains in the pupillary area and luxated or dislocated if it is completely displaced from the pupil. Ectopia lentis is the term used to describe congenital dislocations.1 Lens displacements may be traumatic, heritable, and spontaneous.( Table 1) Table 1: Causes of Lens Dislocation Causes Features Traumatic Responsible for >50% lens displacements Heritable Associated systemic anomalies Marfans’s syndrome: Triad of skeletal, cardiovascular & ocular anomalies. Autosomal dominant. Generalized thinness and elongation of limbs, sternal deformities, kyphoscoliosis, joint hyperextensibility, low ratio between upper and lower segment, arachnodactyly, cardiopathy, aortic dilatation, dissecting aneurysm, mitral regurgitation. Ectopia lentis: B/L superotemporally, usually partial, r

    Dr. Ruchi Goel · Dr. KPS Malik
  3. Students Gallery 1 Apr 2021 3 min read

    Ten Mistakes One Should Avoid in Small Incision Cataract Surgery

    Mastering Small Incision Cataract Surgery (SICS) lays a solid foundation for achieving sutureless cataract surgery in the majority of the cases. This article aims to bring forth some commonly committed errors in SICS. Nuclear grade: Though a surgeon is not expected to choose a patient, but a beginner should avoid extremes of nuclear grade. A grade 3 nucleus with a 6mm external incision and >6mm capsulorrhexis, are the most comfortable to manage initially. Only topical anesthesia! Anesthesia is meant to make the patient comfortable and the choice depends on the patient’s cooperation, condition of the eye, and the surgeon’s expertise. Attempting topical anesthesia in an uncooperative patient, non-dilating pupil or a novice surgeon can result in disaster. Use of blunt knives The creation of a triplanar incision requires sharp knives. Blunt knives result in ragged wounds and premature entry due to the application of excessive pressure. A poorly constructed wound opens the door to the occur

    Dr. Ruchi Goel