Dr. V. Narendran

DNB

Department of Retina & Vitreous, Aravind Eye Hospital & Post Graduate Institute of Ophthalmology, Coimbatore

2 articles

Dr. Narendran is the Chief Medical Officer of Aravind Eye Hospital & Postgraduate Institute of Ophthalmology, Coimbatore. He graduated in medicine from Madras Medical College, DO and DNB from Aravind Eye Hospital, Madurai. He has done observership in India and abroad like Cornell University, New York, Johns Hopkins Wilmer, Wills Eye Hospital, Philadelphia and Julies Stein Eye Institute, LA. He has numerous contributions at state level, national level and international level conferences. He has successfully organized national & state conferences including AIOC, TNOA, VRSI He is Member of Task Force of ROP (Govt. of India) & Queens Diamond Jubilee Trust, UK. He has appointed as the Local appraiser for several institutions / Hospitals for DNB Programmes.

  1. Articles 2 Apr 2021 11 min read

    Retinopathy of Prematurity

    Introduction Retinopathy of Prematurity (ROP) is a fibrovascular proliferative disorder, which affects the developing peripheral retinal vasculature of premature infants. It is an avoidable cause of blindness in children. The initial signs of ROP are detectable by a few weeks after birth, and the condition progresses rapidly thereafter. This means that screening has to be timely, and there is only a very narrow window of opportunity for treating. If not treated, the condition progresses rapidly to Stage 4 or 5 in approximately 50% of babies. The visual prognosis for babies with Stage 5 disease (total retinal detachment) is very poor, even after complex vitreoretinal surgery. The primary goal of screening is to detect all babies with treatable disease in time for treatment to be effective. Pathogenesis In the normal foetus, vascular development of the retina occurs in two phases. Phase 1 (True vasculogenesis): It occurs from 8-21 weeks of foetal development. Spindle cells (mesenchymal p

  2. Articles 1 Apr 2021 15 min read

    Paediatric Retinal Vascular Diseases

    Introduction This chapter will discuss pediatric retinal vascular diseases like Persistent Fetal Vasculature, Familial Exudative Vitreo Retinopathy and Incontinentia Pigmenti Persistent Fetal Vasculature (Persistent Hyperplastic Primary Vitreous) Definition Persistent hyperplastic primary vitreous (PHPV) is a congenital ocular disorder in which fetal vasculature does not regress after birth. It is unilateral approximately 90% of the time. No single gene has been identified. It can vary from very subtle with no visual disturbance to as severe as phthisis bulbi or secondary glaucoma. The prognosis can be good if early intervention is planned. Due to its wide spectrum of presentation, it has now been renamed as persistent fetal vasculature (PFV).1 Pathogenesis The fetal vasculature is composed of two parts: Tunica vasculosa lentis. It is situated anteriorly encircling the lens. It has anterior and posterior divisions. Anteri­or division has additional attachments to the pupillary frill of